基于格林模式的健康教育在冠心病PCI术后患者中的应用  

Effects of health education based on Precede-proceed model in patients with coronary heart disease after PCI

作　　者：严婷婷[1] 方红霞 高文娟[1] 孙仲怡 Yan Tingting;Fang Hongxia;Gao Wenjuan;Sun Zhongyi(Department of Cardiovascular Medicine,the People's Hospital of Chizhou of Anhui Province,Chizhou 247000,China)

机构地区：[1]安徽省池州市人民医院心血管内科,247000

出　　处：《中华现代护理杂志》2021年第17期2327-2331,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于格林模式的健康教育在冠心病PCI术后患者中的应用效果。方法采用便利抽样法,选取2018年9月—2019年9月于池州市人民医院接受PCI的86例冠心病患者为研究对象,依据随机数字表法分为观察组(n=44)与对照组(n=42)。对照组予以常规护理及传统教育,观察组在对照组的基础上给予基于格林模式的健康教育。采用疾病相关知识掌握度问卷、健康促进生活方式量表(HPLP-Ⅱ)、西雅图心绞痛问卷(SAQ)、通用依从性量表(GAS)评估干预的效果。结果干预3个月后,观察组患者的疾病相关知识掌握度问卷、HPLP-Ⅱ、SAQ评分高于对照组,差异有统计学意义(P<0.05)。干预3个月后,观察组患者的康复依从率高于对照组,差异有统计学意义(P<0.05)。结论基于格林模式的健康教育可提高冠心病PCI术后患者的疾病相关知识掌握度及康复依从性,有利于促进健康生活方式的养成,且还可改善其生活质量。Objective To explore the effect of health education based on Precede-proceed model in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods From September 2018 to September 2019,convenience sampling was used to select 86 patients with coronary heart disease who received PCI in the People's Hospital of Chizhou as the research object.All patients were divided into observation group(n=44)and control group(n=42)according to the random number table.Control group implemented conventional nursing and traditional education,and observation group carried out health education based on Precede-proceed model on the basis of control group.The intervention effects were evaluated with the Disease Knowledge Questionnaire,Health Promoting Lifestyle Profile-Ⅱ(HPLP-Ⅱ),Seattle Angina Questionnaire(SAQ)and General Adherence Scale(GAS).Results After three months of intervention,the scores of Disease Knowledge Questionnaire,HPLP-Ⅱand SAQ of observation group were higher than those of control group,and the differences were statistically significant(P<0.05).After three months of intervention,the rehabilitation adherence of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusions Health education based on Precede-proceed model can improve disease-related knowledge and rehabilitation adherence of patients with coronary heart disease after PCI,which is conducive to promoting healthy lifestyles and improving their quality of life.

关 键 词：格林模式 经皮冠状动脉介入治疗 冠心病 健康教育 生活质量 健康行为 

分 类 号：R473.5[医药卫生—护理学]