综合管理冠心病稳定期患者的效果评价  

Effect Evaluation of Comprehensive Management of Patients with Coronary Heart Disease in Stable Stage

作　　者：彭香[1] 向毅[1] 霍畅[1] 牟玲[1] 林晖 

机构地区：[1]四川省第四人民医院,四川成都610016 [2]四川省医疗卫生服务指导中心,四川成都610041

出　　处：《四川医学》2016年第10期1084-1087,共4页Sichuan Medical Journal

基　　金：四川省科技厅科研项目(编号:2014SZ0004-5)

摘　　要：目的探讨冠心病稳定期患者实施综合管理对改善预后的临床效果。方法对明确诊断为冠心病稳定期的110例患者随机分为对照组和观察组,每组55例。对照组接受传统模式常规管理,观察组按照二级预防规范化实施治疗指导、指标监控、定期随访、健康教育等综合管理。对预后进行评估。结果观察组冠心病危险因素认知水平、自我管理量表评分、危险因素指标控制率等明显优于对照组(P<0.05)。结论综合管理冠心病稳定期患者收到良好效果,优于传统模式管理,有助于加强二级预防及改善预后,值得临床进一步推广。Objective To explore the clinical effect of comprehensive management on improving the prognosis of patients with coronary heart disease in stable stage. Methods 110 patients with definite diagnosis of coronary heart disease were randomly divided into control group and observation group, 55 cases in each group. The control group was given the traditional mode of man-agement, while the observation group was standardly carried out treatment guidance, index monitoring, regular follow-up, health education and other comprehensive management in accordance with the two level prevention standards. The prognosis was assessed. Results In the observation group, the cognitive level of risk factors of CHD, self-management scale score, and the risk factor control rate were significantly better than those in control group （ P〈0. 05 ） . Conclusion Comprehensive management of patients with stable coronary heart disease received good results, better than the traditional model management, which helped to strengthen the two level prevention of CHD and improve the prognosis, and was worthy of further clinical promotion.

关 键 词：综合管理 冠心病 稳定期 效果评价 

分 类 号：R541.4[医药卫生—心血管疾病]