双模式健康教育对改善冠心病患者经皮冠状动脉介入术后生活质量的影响  

The effect of dual mode health education model on the quality of life in patients with coronary heart disease after PCI

作　　者：苏玲燕[1] 季燕华 崔红艳[1] 黄玲玲 张瑜[1] 黄春雨[1] Su Lingyan;Ji Yanhua;Cui Hongyan;Huang Lingling;Zhang Yu;Huang Chunyu(Department of Cardiology,Nantong Third People＇s Hospital,Jiangsu 226300,China)

机构地区：[1]江苏省南通市第三人民医院心内科,226300

出　　处：《山西医药杂志》2018年第20期2394-2397,共4页Shanxi Medical Journal

基　　金：江苏省南通市卫生与计划生育委员会医学科研项目(GJZ17008)

摘　　要：目的探讨双模式健康教育对改善冠心病患者经皮冠状动脉介入(PCI)术后心功能和生活质量的影响。方法将2017年1月至12月在我院接受PCI手术的冠心病患者106例,按随机对照表法,平均分为观察组和对照组各53例,分别接受双模式健康教育护理和常规护理。比较2组患者心功能情况、生活质量情况、用药依从性和护理满意度。结果护理后,2组患者的各项心功能指标与护理前比较均有显著改善,差异有统计学意义(P <0.05);护理后2组患者的各项心功能指标比较差异均无统计学意义(P>0.05);观察组患者的生理功能、生理职能、躯体疼痛以及一般健康评分均显著高于对照组患者(P <0.05);观察组患者的住院时间和并发症发生率显著低于对照组患者(P <0.05);观察组患者的用药依从性和护理满意度均显著高于对照组患者,差异有统计学意义(P <0.05)。结论双模式健康教育能够显著改善患者的心脏功能,提高患者的生活质量,值得临床推广。Objective To analyze the effect of dual mode health education model on quality of life in patients with coronary heart disease after PCI.Methods One hundred and six patients with coronary heart disease after PCI were selected and divided into two groups（ n =53）. Patients in control group accepted routine nursing, and patients in observation group accepted dual mode health education model nursing. The cardiac function , quality of life, medication compliance and nursing satisfaction of the two groups were compared.Results After nursing, there were no significant reductions in scores of NYHA, LVEF and MET score（ P 〉0.05）; The score of life quality, medication compliance, nursing satisfaction of patients in observation group were significantly higher than those of patients in control group, （ P 〈0.05）; There were significant reductions in hospital stay and incidence of complications, （ P 〈0.05）.Conclusion Dual mode health education model can improve the quality of life in patients with coronary heart disease after PCI.

关 键 词：健康教育 冠状动脉疾病 血管成形术 经腔 经皮冠状动脉 生活质量 

分 类 号：R473.5[医药卫生—护理学]