【摘要】 目的 探究心力衰竭患者应用自我效能指导下的护理干预对改善其自我护理能力及生活质量的作用。方法 便利选取2021年2月—2023年12月山东中医药大学第二附属医院收治的74例心力衰竭患者为研究对象，根据不同护理方式分为研究组、参照组，各37例。参照组行一般护理干预，研究组加用自我效能指导下的护理干预。比较两组患者的心理状态、自我护理能力、生活质量。结果 护理后，研究组心理状态评分均低于参照组，生活质量评分高于参照组，差异有统计学意义（P均<0.05）。护理后，研究组自我护理中自我概念（30.22±1.25）分、自我责任感（21.94±1.36）分、疾病知识（63.48±3.97）分及自护技能评分（43.64±3.33）分均高于参照组的（28.39±1.02）分、（20.58±3.87）分、（60.65±4.23）分、（40.49±5.61）分，差异有统计学意义（t=7.776、2.273、2.163、3.310,P均<0.05）。结论 自我效能指导下的护理干预能够改善心力衰竭患者的心理状态，提高自我护理能力及生活质量。更多还原

【Abstract】 Objective To explore the effect of nursing intervention under the guidance of self-efficacy on improving self-care ability and quality of life in patients with heart failure. Methods A total of 74 patients with heart failure admitted to the Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine from February 2021to December 2023 were conveniently selected as the research objects. According to different nursing methods, they were divided into study group and reference group, with 37 cases in each group. The reference group was given general nursing intervention, and the study group was given nursing intervention under the guidance of self-efficacy. The psychological state, self-care ability and quality of life of the two groups were compared. Results After nursing, the psychological state score of the study group was lower than that of the reference group, and the quality of life score was higher than that of the reference group, the differences were statistically significant(all P<0.05). After nursing, the self-concept(30.22±1.25) points, self-responsibility(21.94±1.36) points, disease knowledge(63.48±3.97) points and self-care skills score(43.64±3.33) points in the study group were higher than those in the reference group(28.39±1.02) points,(20.58±3.87) points,(60.65±4.23) points,(40.49±5.61) points, the differences were statistically significant(t=7.776, 2.273, 2.163, 3.310, all P<0.05). Conclusion Nursing intervention under the guidance of self-efficacy can improve the psychological state of patients with heart failure, improve self-care ability and quality of life.更多还原