基于目标达成理论的教育对AMI患者行为方式、血脂、血糖和生活质量的影响  

Effects of education based on goal achievement theory on behavior style,blood lipid,blood glucose,and quality if life of patients with acute myocardial infarction

作　　者：杨芳 沈菲 刘晓宇 吴君 YANG Fang;SHEN Fei;LIU Xiaoyu;WU Jun(Cardiovascular Care Unit,Wuxi People's Hospital,Wuxi Jiangsu 214000,China)

机构地区：[1]南京医科大学附属无锡人民医院CCU,江苏无锡214000 [2]南京医科大学附属无锡人民医院心内科,江苏无锡214000

出　　处：《中国急救复苏与灾害医学杂志》2023年第3期391-394,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：国家自然科学基金资助项目(编号:82000317)。

摘　　要：目的研究基于目标达成理论的教育对急性心肌梗死(AMI)发作患者的行为、血脂、血糖及生活质量的影响。方法将2019年1月—2021年12月在无锡人民医院心内科住院的80例急性心肌梗死患者作为研究对象,随机分为观察组和对照组,每组各40例。对照组行常规护理及健康教育,观察组基于对照组基础上行基于目标达成理论的教育。比较两组在入院时及出院6周后两个时间段血糖、血脂水平,并比较两组行为矫正及生活质量的状况。结果随访6周后,观察组患者低密度脂蛋白(LDL)、极低密度脂蛋白(VLDL)、甘油三酯(TG),总胆固醇(TC)及空腹血糖(FPG)水平明显低于对照组,而高密度脂蛋白(HDL)明显高于对照组,差异有统计学意义(P<0.05),且两组行为矫正及生活质量均有显著变化,经过目标达成理论的教育后,观察组在躯体、心理和社会评分均高于对照组,差异有统计学意义(P<0.05)。结论基于目标达成理论的教育可以改善AMI患者血脂和降低血糖,且能矫正患者的行为习惯,保持健康行为和满意的生活质量,因此在临床中具有较好的应用前景。Objective To study the effects of education based on goal achievement theory on behavior correction and quality of life of patients with first acute myocardial infarction(AMI).Methods 80 patients with acute myocardial infarction hospitalized in the Department of Cardiology of Wuxi People's Hospital from January 2019 to December 2021 were randomly divided into observation group and control group:control group receiving only routine nursing and health education,and observation group receiving education based on goal achievement theory in addition of conventional treatment.Peripheral fasting venous blood samples were collected at admission and 6 weeks after discharge to test the levels of fasting plasma glucose(FPG),high density lipoprotein(HDL),low density lipoprotein(LDL),very low density lipoprotein(VLDL),triglyceride(TG),total cholesterol(TC),fasting plasma glucose(FPG),and total cholesterol(TC),Song and Lee's Heart Health Behavior Scale was used to evaluate the heart health behaviors.Questionnaire was used during outpatient follow-up and telephone follow-up.was conducted to evaluate the quality of life of the patients.Results After 6 weeks of follow-up,the levels of LDL,VLDL,TG,TC and FPG of the observation group were all significantly lower than those of the control group,while the levels of HDL was significantly higher than that of the control group(all P<0.05),The scores of health behaviors of the observation group were all significantly higher than those of the control group(all P<0.05).And the physical,psychological and social scores of the observation group were all significantly higher than those of the control group(all P<0.05).Conclusion Education based on goal achievement theory improves blood lipid,reduces blood glucose,corrects behaviors,and improves quality of life in patients with AMI.

关 键 词：目标达成理论 急性心肌梗死 血脂 生活质量 

分 类 号：R54[医药卫生—心血管疾病]