“生命网”健康教育流程对促进冠心病患者改变不良生活方式的作用  

The influence of standardized heartcare network education procedure on coronary heart disease patients' lifestyle

作　　者：张晓梅[1] 张颖[1] 周文悦[1] 万宝艳[1] 周新圆[1] 蔡钎[1] 张潇[1] 吴红瑾[1] 

机构地区：[1]首都医科大学附属北京安贞医院心内科一病房,北京市100029

出　　处：《中华护理杂志》2009年第2期144-147,共4页Chinese Journal of Nursing

摘　　要：目的为了全面控制冠心病危险因素,预防冠心病事件发生和疾病复发,对出院冠心病患者采用了规范的"生命网"健康教育流程,并按计划实施健康教育、管理和监督,以使这些患者改变不良生活方式。方法通过基线调查确定患者目前的生活方式,了解患者的生活态度,根据以上情况制定具体的"生命网"健康教育流程,并对患者在出院1年内实施定期的健康教育、咨询指导、跟踪随访等。结果随访证明患者不良生活方式较基线调查有明显改善(P<0.05或P<0.01)。其中患者戒烟率达92.57%,戒酒率达90.10%,能够坚持健康饮食的患者达64.85%,能够坚持运动锻炼的患者达89.60%。结论规范实施"生命网"健康教育流程,对冠心病患者改变不良的生活方式,提高冠心病治疗的依从性,预防不良心脏事件的发生有重要的促进作用。Objective In order to strengthen the second-class prevention of coronary heart disease,fully control risk factors, change harmful lifestyle and prevent coronary disease and its recurrence,the heart care network education procedure on patients after discharge was applied. Patients received health education and were under management and supervision according to the plan to change their harmful lifestyle. Methods Through baseline investigation,patients lifestyle and their attitudes towards life were understood. A concrete heart care network education procedure was made,and then,a one-year-long regular health education ,consultation and interview for patients were applied. Results The follow-up interviews proved that patients＇ lifestyle had obviously improved compared with baseline data（P〈0.05 or P〈0.01）. The ratio of giving up smoking was as high as 92.57%, the ratio of stopping drinking was 90.1%,the ration of insisting on healthy food was 64.85%,and the rate of continuing physical exercise was 89.6%. Conclusions Standardized heart care network education procedure has played an important role in changing coronary heart disease patients＇ harmful lifestyle,improving the compliance with medical treatment and preventing malignant heart incidents.

关 键 词：健康教育 冠状动脉疾病 生活方式 

分 类 号：R473.5[医药卫生—护理学]