Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Jul 19, 2023; 13(7): 444-452
Published online Jul 19, 2023. doi: 10.5498/wjp.v13.i7.444
Effects of health concept model-based detailed behavioral care on mood and quality of life in elderly patients with chronic heart failure
Ai-Di Zheng, Li-Li Cai, Jing Xu
Ai-Di Zheng, Li-Li Cai, Jing Xu, Department of Cardiology, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China
Author contributions: Zheng AD and Xu J carried out the studies, and conceived and designed the study; Zheng AD and Cai LL performed the analyses and collected the data; Zheng AD drafted the manuscript; all authors approved the final manuscript submitted.
Supported by Zhejiang Medical and Health Science and Technology Program (Project Name: Construction and Application of Exercise Fear Intervention Program for Elderly Patients with Chronic Heart Failure Based on HBM and TPB Theory), No. 2023KY180.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine (Opinion No.: [2022] Scientific Research Medical Lun Shen No. (230)).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing Xu, BSc, Associate Chief Nurse, Department of Cardiology, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, No. 261 Huansha Road, Shangcheng District, Hangzhou 310006, Zhejiang Province, China. xujing68711@163.com
Received: April 7, 2023
Peer-review started: April 7, 2023
First decision: April 19, 2023
Revised: May 17, 2023
Accepted: May 23, 2023
Article in press: May 23, 2023
Published online: July 19, 2023
Processing time: 102 Days and 4.1 Hours
Abstract
BACKGROUND

With the intensification of social aging, the susceptibility of the elderly population to diseases has attracted increasing attention, especially chronic heart failure (CHF) that accounts for a large proportion of the elderly.

AIM

To evaluate the application value of health concept model-based detailed behavioral care in elderly patients with CHF.

METHODS

This study recruited 116 elderly CHF patients admitted from October 2018 to October 2020 and grouped them according to the nursing care that they received. The elderly patients who underwent health concept model-based detailed behavioral care were included in a study group (SG; n = 62), and those who underwent routine detailed behavioral nursing intervention were included as a control group (CG; n = 54). Patients’ negative emotions (NEs), quality of life (QoL), and nutritional status were assessed using the self-rating anxiety/ depression scale (SAS/SDS), the Minnesota Living with Heart Failure Ques-tionnaire (MLHFQ), and the Modified Quantitative Subjective Global Assessment (MQSGA) of nutrition, respectively. Differences in rehabilitation efficiency, NEs, cardiac function (CF) indexes, nutritional status, QoL, and nursing satisfaction were comparatively analyzed.

RESULTS

A higher response rate was recorded in the SG vs the CG after intervention (P < 0.05). After care, the left ventricular ejection fraction was higher while the left ventricular end-diastolic dimension and left ventricular end systolic diameter were lower in the SG compared with the CG (P < 0.05). The post-intervention SAS and SDS scores, as well as MQSGA and MLHFQ scores, were also lower in the SG (P < 0.05). The SG was also superior to the CG in the overall nursing satisfaction rate (P < 0.05).

CONCLUSION

Health concept model-based detailed behavioral care has high application value in the nursing care of elderly CHF patients, and it can not only effectively enhance rehabilitation efficiency, but also mitigate patients’ NEs and improve their CF and QoL.

Keywords: Chronic heart failure; Elderly patients; Health concept model; Detailed behavioral care; Patient mood; Quality of life; Nursing effect

Core Tip: Elderly patients with chronic heart failure (CHF) are prone to negative emotions (NEs) such as depression and anxiety during treatment. Although some drugs can alleviate NEs, they are not conducive to the cardiac function of patients. Therefore, effective means should be explored clinically to improve the mood and quality of life of elderly patients with CHF.