健康教育路径对冠状动脉内支架植入术患者知信行的影响  

Effect of health education pathway on knowledge, attitude and practice in patients after coronary artery stent implantation

作　　者：肖玲[1] 方琴[2] 王攀[1] 曹培叶 任洪艳[3] 肖明朝[3] 赵庆华[1] 

机构地区：[1]重庆医科大学附属第一医院护理部,重庆400016 [2]重庆医科大学附属第一医院心血管内科,重庆400016 [3]重庆医科大学附属第一医院泌尿外科,重庆400016

出　　处：《重庆医科大学学报》2018年第2期279-284,共6页Journal of Chongqing Medical University

基　　金：重庆市卫生和计划生育委员会2015年医学科研计划项目重点资助项目(编号:2015ZDXM009)

摘　　要：目的:探讨健康教育路径对冠状动脉内支架植入患者健康知识、信念以及自我管理行为三方面的影响。方法:采用方便抽样法,在某三级甲等医院心血管内科抽取120名拟行支架植入术的冠心病患者为研究对象。随机分为干预组及对照组,干预组采用健康教育路径进行健康教育,对照组采用传统健康教育方式。对比2组患者入院时、出院当天健康教育知识、信念得分以及出院3个月时的自我管理行为得分。结果:患者出院当天,干预组的知识、信念得分为(55.77±7.71)分、(18.90±2.06)分,高于对照组的(43.93±9.65)分、(16.40±2.85)分,健康教育的方式及时间,对患者的健康知识、健康信念得分有交互作用,差异有统计学意义(P<0.001);患者出院3个月时,干预组的自我管理行为得分为(100.73±8.68)分,高于对照组的(91.13±10.70)分,差异有统计学意义(t=5.197,P=0.000)。结论:健康教育路径能提高冠脉内支架植入患者的知识及信念水平,改善冠脉内支架植入患者的自我管理行为。Objective：To explore the effect of health education pathway on the health knowledge,health belief and self-management in patients with coronary stent implantation. Methods：One hundred and twenty patients with coronary artery disease who were going to receive stent implantation in the department of cardiology of our hospital were selected by convenient sampling,and they were divided into the intervention group and the control group randomly. For patients in the intervention group,health education pathway was used to give health education to them,and for patients in the control group,they received routine health education. Then their health knowledge,health beliefs at admission and discharge,as well as the self-management behavior scores at three months after discharge in the two groups were compared. Results：At the day of discharge,the knowledge,belief scores in the intervention group were（55.77±7.71）,（18.90±2.06）,which were higher than（43.93±9.65）,（16.40±2.85）in the control group,and the differences were statistically significant（P0.001）. The mode and time of health education had interactive effect on the scores of health knowledge and health belief in patients. At three months after discharge,scores of self-management behaviors in the intervention group was（100.73±8.68）,which was higher than（91.13±10.70）in the control group,and the differences were statistically significant（t=5.197,P=0.000）. Conclusion：Health education pathway can improve the knowledge,belief level and self-management behavior of patients with coronary stent implantation.

关 键 词：冠心病 健康教育 临床路径 知-信-行模式 

分 类 号：R473.5[医药卫生—护理学]