临床医学研究与实践2023年3月第8卷第9期Effectsofinterventionbasedonself-regulatedlearningtheorycombinedwithoptimizedhealthmanagementmodelonself-careability,cardiacfunctionandcopingstyleofpatientswithchronicheartfailureLIYuan1,HUANGXiaofeng2*(1.RespiratoryandCriticalCareMedicineDepartment,Xi'anDaxingHospital,Xi'an710082;2.NeurosurgicalDepartment,986HospitalofAirForce,Xi'an710054,China)ABSTRACT:ObjectiveToexploretheapplicationeffectofinterventionbasedonself-regulatedlearningtheorycombinedwithoptimizedhealthmanagementmodelinpatientswithchronicheartfailure.MethodsAtotalof86patientswithchronicheartfailureadmittedfromFebruary2019toJanuary2021wereselectedastheresearchobjectsanddividedintocontrolgroupandobservationgroupbyrandomnumbertablemethod,with43casesineachgroup.Thecontrolgroupreceivedroutinenursing,whiletheobservationgroupreceivedinterventionbasedonself-regulatedlearningtheorycombinedwithoptimizedhealthmanagementmodeonthebasisofthecontrolgroup.Theinterventioneffectsofthetwogroupswerecompared.ResultsAfterintervention,thescoresofeachdimensionofExerciseofSelf-CareAgencyScale(ESCA)intheobservationgroupwerehigherthanthoseinthecontrolgroup(P<0.05).Afterintervention,thelevelsofcardiactroporlinI(cTnI),N-terminalpro-brainnatriureticpeptide(NT-proBNP)intheobservationgroupwerelowerthanthoseinthecontrolgroup,andtheleftventricularejectionfraction(LVEF)washigherthanthatinthecontrolgroup(P<0.05).Afterintervention,thepositivecopingscoreoftheobservationgroupwashigherthanthatofthecontrolgroup,andthenegativecopingscorewaslowerthanthatofthecontrolgroup(P<0.05).ConclusionInterventionbasedonself-regulatedlearningtheorycombinedwithoptimizedhealthmanagementmodelcanimprovetheself-careabilityofpatientswithchronicheartfailure,improvecardiacfunctionandcorrectcopingstyles.KEYWORDS:self-regulatelearningtheory;optimizedhealthmanagementmodel;chronicheartfailure基于自我调节学习理论的干预联合优化健康管理模式对慢性心力衰竭患者自护能力、心功能及应对方式的影响李园1，黄晓凤2*（1.西安大兴医院呼吸与危重症...
