Study on the application effect of Health Action Process Approach theory in patients with liver cirrhosis

WANG Peng; DU Xufang; XIE Xianping; YAO Jia; WANG Xuejing

doi:10.3969/j.issn.1671-315x.2023.06.003

Abstract：Objective To explore the application effect of nursing intervention using the Health Action Process Approach(HAPA)theory in patients with liver cirrhosis.Methods A total of 82 patients with liver cirrhosis who were hospitalized in the Department of Gastro-enterology of a grade A tertiary hospital in Shanxi Province from February to September 2022 were selected as the research objects by conven-ience sampling method.According to the random number table method,they were divided into the control group(41 cases)and the experi-mental group(41 cases).Control group carried out routine nursing intervention,while experimental group implemented nursing intervention based on HAPA as the basic framework on the basis of routine nursing,including the pre-intention stage,intention stage and action stage of self-management of liver cirrhosis patients.The self-management ability,self-efficacy,quality of life and unplanned readmission rate 3 months after intervention were compared between the two groups.Results Before the intervention,there were no statistically significant differences in each index between the two groups(P＞0.05).One month and three months after intervention,the scores of self-management a-bility,self-efficacy and quality of life of patients in the experimental group were higher than those in the control group,and the unplanned re-admission rate of patients in the experimental group was lower than that in the control group 3 months after intervention,and the differences were statistically significant(P＜0.05).Over time,the scores of self-management ability,self-efficacy and quality of life of patients with liver cirrhosis in the two groups gradually increased,and there was an interaction between time and group(P＜0.001).Conclusion Health educa-tion based on HAPA has a positive effect on the health behavior of patients with liver cirrhosis,which can effectively improve patients'self-management ability and self-efficacy,improve their quality of life,and reduce the unplanned readmission rate of patients.