健康教育干预对冠心病介入治疗患者并发症及生活质量的影响  

Efficacy of health education intervention interventional on complications and quality life of patients with coronary heart disease

作　　者：沈爱仙 贾献荣 

机构地区：[1]浙江金华文荣医院ICU,浙江金华321000 [2]浙江金华文荣医院骨科,浙江金华321000

出　　处：《中国现代医生》2014年第30期119-122,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划(2013KYA213)

摘　　要：目的探讨健康教育干预对冠心病介入治疗患者并发症及生活质量的影响。方法选择2011年1月-2014年1月在我院ICU住院行冠心病介入治疗的患者68例,采用随机数字表法分为干预组和对照组各34例,两组患者入院后均实施对症护理,干预组着重进行健康教育干预,对照组未予系统的健康教育干预,比较两组患者术后并发症的发生率及术前、出院时生活质量SAQ各项评分。结果干预组患者术后并发症发生率达8.8%,明显低于对照组（P〈0.05）。出院时,干预组患者的生活质量SAQ评分在躯体活动受限程度、心绞痛稳定程度、心绞痛发作频率、治疗满意度和疾病主观感受方面与术前比较变化较显著,且干预组患者较对照组变化更显著（P〈0.05）。结论对冠心病介入治疗患者实施系统的健康教育干预,有利于降低术后并发症的发生率,提高冠心病介入治疗患者的生活质量,值得推广和应用。Objective To investigate the impact of health education intervention on complications and quality of life in patients with coronary heart disease interventional treatment. Methods A total of 68 patients from January 2011 to January 2014 in our hospital ICU hospitalized with coronary heart disease interventional were selected and divided into intervention and control group, 34 cases each, after implementation symptomatic care, the intervention group focused on health education intervention, the control group had no health education intervention system, the incidence of postoperative complications and quality of life of patients and hospital SAQ scores were compared between two groups. Results The rate of postoperative complications in the intervention group was 8.8%, was significantly lower than the control group（P〈0.05）. At discharge, the patient＇s quality of life in the intervention group SAQ scores in physical activity were limited extent, the stability of angina pectoris, angina frequency, treatment of subjective feelings of satisfaction and disease more significant changed compared with preoperative relatively, and the changes in the intervention group were more significantly than the control group（P〈0.05）. Conclusion The implementation of the system for percutaneous coronary intervention health education interventions for patients can helps to reduce the incidence of postoperative complications and improve quality of life in patients with coronary intervention, worthy of promotion and application.

关 键 词：冠心病 介入治疗 健康教育 并发症 生活质量 影响 

分 类 号：R473.5[医药卫生—护理学]