康复路径教育在冠心病介入治疗患者心脏康复中的应用  

Application of heart rehabilitation pathway education in coronary heart disease patients after PCI

作　　者：梁婷[1] 都冬梅[1] 

机构地区：[1]四川省人民医院心内科,成都610072

出　　处：《中华老年心脑血管病杂志》2013年第11期1155-1158,共4页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的探讨心脏康复路径教育在冠心病介入治疗患者心脏康复过程中的效果。方法选取首次接受PCI的冠心病患者110例,经DPS统计软件随机分为对照组和试验组,每组55例。对照组接受常规健康教育,试验组在接受常规健康教育的基础上,由研究者严格按照康复路径表给予心脏康复教育。观察2组患者出院时冠心病康复知识掌握水平及出院6个月后的一般自我效能水平、自我管理水平及冠心病危险因素控制情况。结果干预后,试验组康复知识问卷、自我效能感量表、自我管理量表评分、血压达标率较对照组明显增高,吸烟率、LDL-C、糖化血红蛋白较对照组明显下降,差异有统计学意义(P<0.05,P<0.01)。结论康复路径教育有助于提高PCI术后患者的康复知识、自我效能、自我管理及危险因素控制水平,是PCI术后一种有效的心脏康复模式。Objective To study the effect of heart rehabilitation pathway education in cronoary heart disease （CHD） patients after PCI. Methods One hundred and ten CHD patients after PCI were randomly divided into control group and experimental group （55 in each group）. Patients in control group received routine health education and those in experimental group received routine health education plus heart rehabilitation pathway education. Their knowledge about heart reha- bilitation at discharge and general self-efficacy score, self management scale score and ability to control risk factors for CHD 6 months after discharge were compared between the two groups. Results The knowledge about heart rehabilitation, general self-efficacy score, self management scale score and nomal blood pressure rate were significantly higher while the number of smokers and serum LDL-C and HbAlc levels were significantly lower in experimental group than in control group after treatment （P〈0.05,P〈0.01）. Conclusion Heart rehabilitation pathway education in CHD patients after PCI helps to improve their knowledge about rehabilitation, general self-efficacy, self management and ability to control the risk factors for CHD and is thus is an effective model of heart rehabilitation in CHD patients after PCI.

关 键 词：冠心病 冠状动脉再狭窄 临床路径 健康教育 危险因素 康复 

分 类 号：R473.5[医药卫生—护理学]