“生命网”系统干预冠心病危险因素效益评估  

Assessment of the benefit on heart-care network system for the intervention of risk factors of coronary heart disease

作　　者：宋丽芬[1] 于瑞英[1] 李瑞杰[1] 李莉[1] 

机构地区：[1]北京垂杨柳医院心脏中心,北京市100022

出　　处：《心血管康复医学杂志》2005年第3期203-204,共2页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨生命网在冠心病危险因素干预中的作用。方法:观察加入生命网患者主观与客观指标的改变。结果:对入网的冠心病患者进行健康教育效果的调查显示:(1)主观指标:患者对健康的认识的程度由20%增加到97%, 锻炼身体时间达标率由34%增加到95%,认识到吸烟的危害性并已戒烟者由15%增加到82%,坚持按照医嘱服药者由16%增加到88%(P均<0.001);(2)客观指标:随访期间急性冠脉事件发生率由14.8%减至7.5%,因急性冠脉事件住院≥2次的患者由40%降至15%,医疗费用较过去减少15%,血压、血脂达标率由12%增加到75%(P<0.05 -<0.01)。结论:通过生命网干预冠心病危险因素,可以最大程度地提高患者的生活质量,防止并发症发生。Objective: To study the effect of heart-care network (HCN) intervening risk factors of coronary heart disease (CHD). Methods: The changes of subjective and objective indexes for patients who join HCN were observed and analyzed. Results: After join HCN, in the subjective indexes:Extent of recognition for their health (shifted from 20% to 97 % ) . reach target rate of exercise duration (from 34 % to 95 % ) , understanding the harm of smoking and then quitting (from 15% to 82%) , and insisting on taking medicine according physician order (from 16% to 88%),F<0.001 all; second , in the objective indexes, the frequency of the occurrences of acute coronary syndrom (ACS) decreased from 14. 8% to 7. 5% , the patients with hospitalization number ≥2 becouse ACS decreased from 40% to 15%, and expense of medical treatment decreased 15%. Furthermore, it increases the number of patients who reach the standard of depress blood pressure and lipid (from 12% to 75%) ,.P<0. 05-<0. 01. Conclusion: HCN can enhance living qualities and avoid complications of patients through intervening risk factors of CHD.

关 键 词：生命网 效益评估 系统干预 急性冠脉事件 危险因素干预 客观指标 冠心病患者 教育效果 锻炼身体 随访期间 医疗费用 0.05 生活质量 达标率 戒烟者 危害性 发生率 并发症 健康 

分 类 号：R541.4[医药卫生—心血管疾病] R197.38[医药卫生—内科学]