Volume 23 Issue 9
Sep.  2025
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WANG Pingping, NING Bin, ZHANG Xuerui, YAN Shuyan. The effect of continuous nursing based on ITHBC theory in patients with atrial fibrillation[J]. Chinese Journal of General Practice, 2025, 23(9): 1623-1626. doi: 10.16766/j.cnki.issn.1674-4152.004191
Citation: WANG Pingping, NING Bin, ZHANG Xuerui, YAN Shuyan. The effect of continuous nursing based on ITHBC theory in patients with atrial fibrillation[J]. Chinese Journal of General Practice, 2025, 23(9): 1623-1626. doi: 10.16766/j.cnki.issn.1674-4152.004191

The effect of continuous nursing based on ITHBC theory in patients with atrial fibrillation

doi: 10.16766/j.cnki.issn.1674-4152.004191
Funds:

 AHWJ2023A20336

  • Received Date: 2025-02-21
    Available Online: 2025-11-17
  •   Objective  The implementing of continuity of care interventions is to be executed using the integrated theory of health behavior change (ITHBC) framework. The effectiveness of this implementation will be analyzed in terms of its impact on improving anticoagulant knowledge, compliance, and self-management abilities in patients with atrial fibrillation. The objective is to provide evidence-based support for optimizing the long-term management of patients with atrial fibrillation.  Methods  A total of 182 patients diagnosed with atrial fibrillation were selected as research subjects from March 2022 to July 2024, admitted to Funan County People' s Hospital. These subjects were method ically divided into two groups: a control group and an observation group, with 91 cases in each group. The control group patients received routine continuing care, while the observation group received continuing care based on ITHBC theory in addition to the care received by the control group. The level of anticoagulant knowledge mastery, anticoagulant compliance, and self-management ability between two groups of patients were compared.  Results  Following a six-month intervention period the observation group demonstrated a higher level of knowledge and compliance with anticoagulation therapy, with mean scores of 9.02±0.85 and 25.07±3.09, respectively. These scores were significantly higher than those observed in the control group, which averaged (7.19±1.03) points and (22.17±4.04) points, yielding a statistically significant difference (P < 0.05). Following the implementation of the intervention, there was an enhancement in the scores of each dimension and the total score of the atrial fibrillation self-management scale for patients in the observation group. The total score of the observation group scale exceeded that of the control group [(50.32±6.74) points vs. (44.19±8.59) points, F=4.869, P < 0.001].  Conclusion  Continuing nursing based on the ITHBC theory can improve disease-related knowledge and anticoagulant compliance in patients with atrial fibrillation, enhance patients'self-management abilities and improve clinical outcomes.

     

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