基于Pender健康促进理论下的健康教育对冠心病经皮冠状动脉介入术术后患者生活方式及生命质量的影响  

The effect of health education based on pender＇s health promotion theory on life style and living quality of patients with coronary heart disease and undergone percutaneous coronary intervention

作　　者：邹芸[1] 郑梅[1] Zou Yun;Zheng Mei(Urban Area of Changzhou Second People＇s Hospital, Changzhou 213000, China)

机构地区：[1]江苏省常州市第二人民医院城中院区心内科,213000

出　　处：《中国实用护理杂志》2018年第20期1531-1536,共6页Chinese Journal of Practical Nursing

摘　　要：目的探讨基于Pender健康促进理论下的健康教育对冠心病经皮冠状动脉介入术（PCI）术后患者生活方式及生命质量的影响。方法选择2016年10月至2017年12月收治的冠心病PCI术后患者124例为研究对象，采用随机数字表法分为观察组和对照组各62例。所有患者均给予包括心理干预、用药指导、康复训练、并发症预防、出院随访等常规护理干预，对照组同时给予常规健康教育，观察组联合应用基于Pender健康促进理论的健康教育。干预后3个月、6个月，采用《Pender健康生活方式量表》、西雅图心绞痛问卷（SAQ）测评患者健康生活方式及生命质量。结果干预后3个月，观察组自我实现、运动保健、均衡饮食、职业安全、人际支持发展评分分别为（3．01±0．41）、（2．94±0．43）、（3．14±0．37）、（3．14±0．43）、（2．75±0．41）分，均明显高于对照组的（2．80±0．43）、（2．63±0．37）、（2．89±0．46）、（2．82±0．49）、（2．43±0．47）分，差异有统计学意义（t=2．783—4．403，P〈0．05）；干预后6个月，观察组自我实现、运动保健、均衡饮食、职业安全、人际支持发展评分分别为（3．52±0．44）、（3．45±0．52）、（3．60±0．34）、（3．56±0．35）、（3．36±0．45）、（50．61±5．53）分，均明显高于对照组的（3．12±0．45）、（2．86±0．40）、（3．15±0．52）、（3．12±0．46）、（2．86±0．56）分，差异有统计学意义（t=5．004～7．081，P〈0．05）。干预后3个月，观察组躯体受限程度、心绞痛稳定性、心绞痛发作程度、治疗满意度、疾病认知程度评分分别为（69．02±3．98）、（62．38±4．59）、（66．39±5．24）、（81．42±7．73）、（70．41±5．38）分，均明显高于对照组的（65．56±3．57）、（57．34±5．37）、（62．86±4．28）、（74．59±7．28）、（65．32±4．23�Objective To investigate the effect of health education based on Pender＇s health promotion theory on life style and living quality of patients with coronary heart disease and undergone percutaneous coronary intervention （PCI）. Methods A total of 124 cases of patients with coronary heart disease, undergone PCI and admitted to hospital from October 2016 to December 2017 were selected as the research objects, and divided into observation group and control group using the random number table method, with 62 cases in each group. All the patients were performed routine nursing intervention including mental intervention, medication guidance, rehabilitation training, complications prevention and follow-up visit after discharge. Besides, patients in control group were performed routine health education, and those in observation group were performed health education based on Pender＇ s health promotion theory. After 3 months and 6 months of follow-up visit, the healthy life style and living quality of the patients were measured by Pender Health-promoting Lifestyle Profile and Seattle Angina Questionnaire （SAQ）. Results After 3 months of follow-up visit, the scores of self-actualization, sports health, balanced diet, employment security and interpersonal support development in observation group were respectively （3.01±0.41）, （2.94±0.43）, （3.14±0.37）, （3.14±0.43） and （2.75±0.41）, which were significantly higher than （2.80±0.43）, （2.63±0.37）, （2.89±0.46）, （2.82±0.49） and （2.43±0.47） in control group, and the differences were statistically significant （t=2.783, 4.403, 3.335, 3.865, 4.040, P〈0.05）; after 6 months of follow-up visit, the scores of self-actualization, sports health, balanced diet, employment security and interpersonal support development in observation group were respectively （3.52±0.44）, （3.45±0.52）, （3.60±0.34）, （3.56± 0.35）, （3.36±0.45） and （50.61±5.53）, which were significantly higher than （3.12±0.45）, （2.8

关 键 词：冠状动脉疾病 生活方式 经皮冠状动脉介入术 Pender健康促进理论 

分 类 号：R473.5[医药卫生—护理学]