健康教育在冠心病二级预防中的作用  

Effect of health education in secondary prevention of coronary heart disease

作　　者：邝碧娟[1] 赵菲[1] 曾丽吟[1] 王湘郴[1] 包世敏[1] 

机构地区：[1]广东医学院附属深圳市福田区人民医院心内科,深圳518033

出　　处：《现代护理》2006年第16期1551-1553,共3页Modern Nursing

基　　金：深圳市科技局科研基金资助;项目(200104144)

摘　　要：目的建立冠心病二级预防干预中健康教育新模式,使患者建立健康行为,从而有效地降低血脂、控制心血管事件发生,减少再住院率。方法选择236例冠心病患者,入网后填写疾病知识、生活方式、个体用药评估表,经过健康讲座、科学的生活方式、个体化的药物干预,在入网2年后进行复评。结果入网2年后患者总胆固醇、低密度脂蛋白胆固醇较入网时显著下降,患者对疾病知识的掌握情况明显提高,不良生活方式明显改善,血压、血糖呈下降趋势,再发心血管事件住院率仅为1.7%。结论对冠心病患者进行健康教育,可取得良好的二级预防的效果。Objective To create new mode of health education in secondary prevention of coronary heart disease,and make the patients establish healthy behaviors in order to reduce the incidence of cardiovascular events and mortality rate. Methods 236 patients with coronary heart disease were enrolled. After joining in the net, they filled in evaluation which included disease knowledge, life-style and individual medicine therapy. Through receiving health lectures, intervention on scientific life style and individualmedicine therapy for two years, the patients were estimated on their lipodemia, blood pressure, knowledge of disease and bad lifestyle change. Results After joining in the net for two years, the patients＇ total cholesterol and low density cholesterol were lower than before and they grasped more knowledge about disease and changed the bad lifestyle significantly. Their blood pressure and glucose was decreasing too. The recurrent rate of cardiovascular diseases and re-hospitalization was only 1.7 %. Conclusions In the patients with coronary heart disease, health education can achieve good effect of secondary prevention.

关 键 词：冠心病 二级预防 健康教育 

分 类 号：R473.5[医药卫生—护理学]