老年首发心绞痛患者危险因素认知程度调查分析  

Analysis of Cognition of Risκ Factors in Elderly Patients Suffered from First Episode Angina Pectoris

作　　者：郑淑云[1] 高岩[1] 何海涛[1] 王鸿铭[1] 孙新[2] 

机构地区：[1]北华大学附属医院,吉林吉林132011 [2]北华大学生命科学中心,吉林吉林132013

出　　处：《北华大学学报（自然科学版）》2015年第5期641-645,共5页Journal of Beihua University（Natural Science）

基　　金：吉林省科技发展计划项目(20111809;20130624003JC);吉林市科技发展计划项目(201032229)

摘　　要：目的评价综合干预模式对老年首发心绞痛患者危险因素认知程度及预后的影响.方法实验组采取心脏康复与二级预防相结合的服务关爱综合模式,并强化处理个体突出危险因素;对照组采取普通干预治疗模式.两组患者均按研究设计要求定期强化复诊.结果实验组对冠心病危险因素认知程度积分高于对照组;实验组饮食运动干预后体质量、BMI、血压及LDL-C代谢指标与对照组相比效果显著;实验组自我护理能力ESCA评分值(133.1±14.2)为高等水平,健康行为方面HPLP评分值(139.9±22.8)为高等水平,在不同时间点实验组之间比较P<0.05,干预后上升显著.结论长期运用服务关爱综合模式进行干预能够有效降低老年患者心血管事件的发生率.Objective To evaluate the effects of comprehensive intervention model on the cognitive degree and the prognosis of risk factors in elderly patients suffered from first episode angina pectoris. Method The experimental group accepted cardiac rehabilitation combined secondary prevention service care, and their individual prominent risk factors were strengthened. The ordinary intervention mode was executed in the control group. All the patients in the two groups accepted regular strengthening follow-up in accordance with the research requirements. Results The accumulative point of the cognitive degree of coronary heart disease risk factors in the experimental group was higher than that of the control group. After dietary exercise intervention, the body weight, BMI, blood pressure, LDL-C metabolism index of the patients in the control group were significantly superior to that of the control group. In the experimental group, the self-care ability was assessed as high level by ESCA （133.1±14.2）, and the health behaviors was also assessed as high level by HPLP （139.9±22.8）. Comparisons were carried out in the experimental group at different times. The results showed that the values increased obviously after intervention. Conclusion The long-term comprehensive service care model could effectively reduce the occurrence of cardiovascular events.

关 键 词：老年 首发心绞痛 危险因素 分析 对策 

分 类 号：R322.1[医药卫生—人体解剖和组织胚胎学]