基于健商理念的健康教育对冠状动脉介入术后患者自我管理行为的影响  

The Application of Health Education Based on the Concept of Health Quotient in Patients after Coronary Intervention

作　　者：王艳岭[1] 宋露露[1] 缪群芳[1] 张邢炜[1] 

机构地区：[1]杭州师范大学,浙江省杭州市310036

出　　处：《中国全科医学》2017年第A02期247-250,共4页Chinese General Practice

摘　　要：目的将基于健商理念的健康教育运用到冠状动脉介入术后患者,观察其对患者自我管理行为的影响,以期为改善冠心病患者冠脉介入治疗的预后提供参考。方法运用类试验研究,便利抽取杭州市某综合性三甲医院符合入选标准的冠脉介入术后患者。干预组首先对患者进行健商测评,根据测评结果针对相应维度进行针对性的健康教育,健康教育过程遵循行为认知理论;对照组进行常规健康教育。两组分别在入组第1天、入组12周时使用冠心病自我管理行为量表进行资料收集。结果健康教育后,两组患者自我管理得分均得到提高。冠状动脉介入术后患者健康教育后,两组患者自我管理三个维度的得分差异有统计学意义(P<0.05)。结论常规健康教育和基于健商理念的健康教育均可以改善冠状动脉介入术后患者的自我管理行为。与常规的健康教育相比,基于健商理念的健康教育可以更显著地改善冠脉介入术后患者的自我管理行为。Objective Introducing the health education Guided by the idea of health quotient in patients who have coronary artery disease after coronary intervention,observing the effects on self-management behaviors of those patients. In order to improve the prognosis of coronary intervention in patients with coronary heart disease. Methods Experimental study was used to design this research,2 groups of patients who have coronary artery disease after the coronary intervention were selected for the study by convenient sampling from a level 3 hospital in Hangzhou. They were assigned into two groups（ control group and treatment group）. The control group（ 44 patients） was given traditional health education for 12 weeks. The treatment group（ 39 patients）was given health education based on the HQ for 12 weeks. The intervention group was tested with the health quotient test,and received the specific health education which was based on the test result,the process of health education follows the cognitive behavior theory. Data collection was based on the three timing points： the day when the patients became subjects and 12 weeks later after the he patients to be subjects. The instrument is coronary heart disease self-management scale. Results After the health education,the total scores of the self-management of patients in the two groups were statistical significance. Conclusion Traditional health education and Health Education Based on the Concept of Health Quotient both improve self-management of patients who have coronary artery disease after coronary intervention. Health Education Based on the Concept of Health Quotient is more remarkably improve self-management of patients who have coronary artery disease after coronary intervention than Traditional health education.

关 键 词：血管成形术 气囊 冠状动脉 健康教育 健康商数 

分 类 号：R814.47[医药卫生—影像医学与核医学]