“生命网”健康行为能力干预对冠心病患者生存质量的影响研究  

Effects of Heart Care Network-based Abilities for Health Practice Intervention on the Quality of Life in Patients with Coronary Heart Disease

作　　者：周岩 韩会 王晴 邢凤梅 ZHOU Yan HAN Hui WANG Qing XING Feng - mei(College of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan 063210, China)

机构地区：[1]华北理工大学护理与康复学院,河北省唐山市063210

出　　处：《中国全科医学》2017年第19期2368-2372,共5页Chinese General Practice

基　　金：河北省科技计划项目(16277787D)

摘　　要：目的探讨"生命网"健康行为能力干预对冠心病患者生存质量的影响,为临床护理干预提供新的方法和思路。方法选取2015年11月—2016年2月在唐山市工人医院心血管内科住院治疗且符合纳入标准的冠心病患者127例,采用随机数字表法分为对照组63例和干预组64例。两组患者入院后均建立"生命网"档案,入院72 h内采用中文版西雅图心绞痛量表(SAQ)测评两组患者的生存质量。对照组住院期间依据测评结果进行常规护理,出院后定期组织患者参加心血管内科举办的"生命网"讲座及门诊随访;干预组在对照组基础上给予"生命网"健康行为能力干预,从健康行为的饮食、运动、压力管理、人际关系及健康责任5个方面进行干预。出院6个月后再次测评两组患者的生存质量。结果干预组随访过程中失访3例,最终完成61例。对照组随访过程中死亡1例、失访4例,最终完成58例。干预前两组患者躯体活动受限程度、心绞痛稳定状态、心绞痛发作情况、治疗满意度、疾病认识程度评分及SAQ总分比较,差异无统计学意义(P>0.05)。干预后两组患者躯体活动受限程度评分比较,差异无统计学意义(P>0.05);干预后干预组患者心绞痛稳定状态、心绞痛发作情况、治疗满意度、疾病认识程度评分及SAQ总分高于对照组(P<0.05)。干预组干预后SAQ各维度评分及SAQ总分高于干预前(P<0.05);对照组干预后心绞痛稳定状态、心绞痛发作情况和疾病认识程度评分高于干预前(P<0.05);对照组干预后躯体活动受限程度、治疗满意度评分及SAQ总分与干预前比较,差异无统计学意义(P>0.05)。结论 "生命网"健康行为能力干预能够改善冠心病患者的生存质量。Objective To investigate the effects of Heart Care Network-based abilities for health practice intervention on the quality of life in patients with coronary heart disease,aimed at providing new methods and ideas for clinical care intervention for these patients.Methods We enrolled 127 participants with coronary heart disease who met the inclusion criteria and received hospitalized treatment and in Department of Cardiovascular Medicine,Tangshan Gongren Hospital from November2015 to February 2016,and randomized them into the control group（n = 63） and intervention group（n = 64）.Heart Care Network-based record was established after admission.Quality of life was measured by the Chinese version of Seattle Angina Questionnaire（SAQ） within 72 h after admission.Both groups received the conventional nursing in accordance with the evaluation results of conditions during hospitalization,and Heart Care Network-based lectures regularly held by the Department of Cardiovascular Medicine and outpatient follow-up after discharge.In addition,the intervention group received Heart Care Network-based abilities for health practice intervention in both the periods of hospitalization and six months after discharge,including five aspects,diet intervention,exercise intervention,stress management intervention,interpersonal intervention and health responsibility intervention.The quality of life was measured again at six months after discharge.Results Finally we obtained the follow-up data of 61 cases in the intervention group（three cases were lost to follow up） and those of 58 cases in the control group（one case died during the follow-up period,and 4 cases were lost to follow up）.Before intervention,the scores of SAQ,and its five scales of Physical Limitation Scale,Anginal Stability Scale,Anginal Frequency Scale,Treatment Satisfaction Scale and Disease Perception Scale did not different significantly between the two groups（P〈0.05）.After intervention,except the scores of Physical Limitation Scale of both groups were

关 键 词：冠心病 健康行为 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]