Applied Research on the Impact of SOC Model on Health Literacy and Disease Uncertainty among Young and Middle-aged Patients with Coronary Heart Disease

Yupei Li, Xin Jin, Huijing Duan, Xiaoran Shen — Wed, 23 Jul 2025 17:02:07 +0800

Objective: To analyze the impact and mechanism of the SOC model intervention on improving health literacy and reducing disease uncertainty among young and middle-aged patients with coronary heart disease. Methods: A hundred young and middle-aged patients with coronary heart disease from our hospital between March and October 2024 were randomly divided into an observation group and a control group, with 50 patients in each group. Both groups received routine nursing intervention, while the observation group also received intervention based on the Stages of Change (SOC) model. The intervention period was 30 days. Changes in self-efficacy, health literacy, and disease uncertainty were compared between the two groups before and after the intervention. Results: After the intervention, the self-efficacy scores of both groups increased significantly, and the observation group had higher self-efficacy scores than the control group, with a significant difference (P < 0.05). Additionally, the observation group showed significantly higher levels of health literacy than the control group (P < 0.001). Furthermore, the observation group had significantly lower scores for disease uncertainty compared to the control group (P < 0.001). Conclusion: The SOC model, in addition to routine nursing, significantly affects self-efficacy, disease uncertainty, and health literacy among young and middle-aged patients with coronary heart disease. It helps to enhance patients’ knowledge of coronary heart disease, improve health literacy levels, and reduce disease uncertainty, making it worthy of clinical promotion and application.

Advancements in the Use of OCTA for Studying Intraocular Pressure and Retinal Perfusion

Chaoxuan Li, Weiguo Zhang — Fri, 25 Jul 2025 09:30:04 +0800

Optical coherence tomography angiography (OCTA) is a non-invasive imaging technique that analyzes the microvascular system of the eye. By capturing high-speed, repeated scans to detect the movement of red blood cells, OCTA visualizes the vascular network, revealing ischemia and reperfusion patterns in retinal vascular diseases. It has become a primary tool for assessing changes in the multilayer microvascular structure of the retina, applicable in conditions such as diabetic retinopathy, age-related macular degeneration, central serous chorioretinopathy, vascular occlusions, and glaucomatous optic neuropathy, among others. Moreover, OCTA is useful in the assessment of central nervous system diseases and is increasingly utilized in routine health examinations and scientific research. Its main advantages include high resolution, rapid, non-invasive scanning, and the ability to analyze microcirculation by observing different vascular layers through tomographic imaging. However, its sensitivity to blood flow velocity and susceptibility to artifacts, such as slow blood flow appearing as non-perfusion, are notable limitations. Overall, OCTA provides a visually intuitive approach for observing retinal blood flow and has significant clinical implications for ocular conditions.

Journal of Clinical and Nursing Research

Applied Research on the Impact of SOC Model on Health Literacy and Disease Uncertainty among Young and Middle-aged Patients with Coronary Heart Disease

Advancements in the Use of OCTA for Studying Intraocular Pressure and Retinal Perfusion