基于知信行健康教育模式在心脏换瓣术后抗凝治疗中的应用  

Application of health education mode based on knowledge,attitude,and practice in anticoagulation after heart valve replacement

作　　者：何伟兰[1] 廖旭嘉[1] 何欣欣 HE Wei-lan;LIAO Xu-jia;HE Xin-xin(Department of Cardiology,Foshan First People's Hospital,Foshan 528000,Guangdong,CHINA)

机构地区：[1]佛山市第一人民医院心外科,广东佛山528000

出　　处：《海南医学》2020年第14期1902-1904,共3页Hainan Medical Journal

摘　　要：目的探讨基于知信行健康教育模式在心脏换瓣术后抗凝治疗中的应用效果,为促进患者持续康复提供保障。方法选取2019年1~8月佛山市第一人民医院心外科收治的86例心脏换瓣手术患者作为研究对象,按照随机数表法分为观察组和对照组各43例。在住院期间及出院后,对照组给予常规健康教育方法,观察组给予基于知信行健康教育模式的方法,两组均进行为期1个月的健康教育。1个月后,比较两组患者的抗凝知识掌握程度、抗凝治疗依从性、对护理的满意度及并发症等情况。结果观察组患者掌握抗凝知识得分为(96.30±3.84)分,明显高于对照组的(90.50±4.20)分,差异有统计学意义(P<0.05);健康教育干预后,观察组和对照组患者的定点服药评分[(9.63±0.21)分vs(5.57±1.07)分]、定期复诊评分[(9.54±0.23)分vs(7.21±0.24)分]、饮食调理评分[(9.71±0.17)分vs(6.52±0.24)分]、用软毛刷评分[(9.87±0.07)分vs(6.52±0.24)分]、华法令剂量登记[(9.79±0.08)分vs(6.38±1.54)分]、总分[(48.25±1.19)分vs(45.5±1.25)分]比较,观察组明显高于对照组,差异均具有统计学意义(P<0.05);观察组患者对护理的满意度为97.67%,明显高于对照组的86.05%,差异有统计学意义(P<0.05);观察组患者的并发症发生率为2.13%,明显低于对照组的13.95%,差异有统计学意义(P<0.05)。结论基于知信行健康教育模式在心脏换瓣术后抗凝治疗中的应用效果显著,其可有效提高患者抗凝治疗依从性,提高患者对护理的满意度,为促进患者持续康复提供保障。Objective To study the curative efficacy of health education based on knowledge,attitude,and practice in the treatment of anticoagulant therapy after cardiac valve replacement.Methods Eighty patients undergoing heart valve replacement admitted to Department of Cardiology,Foshan First People’s Hospital from January 2019 to August 2019 were selected as the study objects.According the random number table,the patients were divided into two groups:the observation group and control group,each with 43 patients.During hospitalization and after discharge,the control group was given routine health education,and the observation group was given health education mode based on knowledge,attitude,and practice,for one month.One month later,the two groups were compared in terms of the mastery degree of anticoagulation knowledge,the compliance score of anticoagulation treatment,satisfaction,and complications.Results The score of anticoagulation knowledge in the observation group was(96.30±3.84)points,which was significantly higher than(90.50±4.20)points in the control group(P<0.05).After health education,the fixed point medication score,regular follow-up score,dietary conditioning score,grade with a soft brush,warfarin dose registration,and total score in the observation group were(9.63±0.21)points,(9.54±0.23)points,(9.71±0.17)points,(9.87±0.07)points,(9.79±0.08)points,(48.25±1.19)points,significantly higher than(5.57±1.07)points,(7.21±0.24)points,(6.52±0.24)points,(6.52±0.24)points,(6.38±1.54)points,(45.5±1.25)points in the control group(P<0.05).The satisfaction of patients in the observation group was 97.67%,which was significantly higher than 86.05%in the control group(P<0.05).The incidence of complications in the observation group was 2.13%,which was significantly lower than 13.95%in the control group(P<0.05).Conclusion The application of health education mode based on knowledge,attitude,and practice in anticoagulant therapy after cardiac valve replacement has a significant effect,which can effectively improve

关 键 词：知信行健康教育模式 心脏换瓣术 抗凝治疗 效果 满意度 

分 类 号：R473.6[医药卫生—护理学]