全程健康教育体系在冠脉支架术后患者中的效果探讨  

The effects of holistic health education system of patients after coronary stent

作　　者：俸永红[1] 李大严[1] 蒙漫史[1] 陆士娟[1] 邢波[1] 陈希[1] 黎福理[1] 王茹[1] 

机构地区：[1]中南大学湘雅医学院附属海口医院,海南海口570208

出　　处：《实用临床医药杂志》2015年第20期1-3,13,共4页Journal of Clinical Medicine in Practice

基　　金：海南省卫生厅医学科研立项课题(琼卫2013-29)

摘　　要：目的探讨全程健康教育体系在冠脉支架术后患者中的应用效果。方法选择本科行冠脉支架术后患者720例随机分为观察组和对照组各360例,对照组按护理常规在患者入院时和出院前进行健康教育,观察组用健康教育体系在对照组基础上实施责任护士全程跟踪式健康教育,比较2组服药依从性、二级预防知识的掌握、相关疾病知识的掌握情况、护理满意度、再入院率及病死率。结果观察组服药依从性、冠心病二级预防知识、及相关疾病知识掌握、满意度等均优于对照组(P<0.05);再入院率和病死率低于对照组(P<0.05)。结论对冠脉支架术后的患者实施全程健康教育体系管理可全面减少患者的危险因素、改善生活质量、提高术后康复率,强化有效服药的依从性,纠正患者的不良生活习惯,减少再入院率,提高了护理满意度,值得临床推广。Objective To investigate the effects of the holistic health education system in patients after coronary stent. Methods A total of 720 patients after coronary stent were randomly divided into observation group with 360 cases and control group with 360 cases,the control group was conducted health education at admission and discharge,observation group were carried out whole-course tracking health education based on the control group. Drug therapy compliance,master of secondary prevention knowledge,mastering related diseases,nursing satisfaction,readmission rates and mortality were compared between the two groups. Results Drug therapy compliance,master of secondary prevention knowledge,mastering related diseases,nursing satisfaction in the observation group were better than that in the control group（ P 0. 05）; Readmission rates and mortality were lower than that in the control group（ P 0. 05）. Conclusion Implementation of holistic health education system management in the patients after coronary stent can reduce patient＇ s risk factors,improve the quality of life,increase the rate of postoperative rehabilitation,strengthen effective drug therapy compliance,correct patient＇s bad living habits,reduce readmission rates,and improve nursing satisfaction,so it is worthy of clinical promotion.

关 键 词：全程健康教育体系 冠脉支架术 护理对策 

分 类 号：R473.5[医药卫生—护理学]