基于TRIZ模式的健康教育在老年退行性心脏瓣膜病患者中的应用  

Application of health education based on TRIZ mode in patients with senile degenerative heart valvular disease

作　　者：陈志苑 张晓静[2] 贺艳萍 CHEN Zhi-yuan;ZHANG Xiao-jing;HE Yan-ping(Cardiac Pacing Intervention Center,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,830054,China)

机构地区：[1]新疆医科大学第一附属医院心脏起搏介入中心,新疆乌鲁木齐830054 [2]新疆医科大学第一附属医院心血管病中心重症监护室,新疆乌鲁木齐830054

出　　处：《心血管康复医学杂志》2025年第1期124-128,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:分析对老年退行性心脏瓣膜病(SDHVD)患者应用基于发明问题解决理论(TRIZ)模式的健康教育的临床效果。方法:选择2020年5月-2022年10月于新疆医科大学第一附属医院心内科治疗的SDHVD患者126例,采用随机数字表法分为对照组和干预组,每组各63例。对照组采用健康教育模式,干预组应用基于TRIZ模式的健康教育。干预3个月后,对比两组凝血功能、心功能指标、健康知识掌握程度、不良心血管事件发生率、服药依从性及复查依从性。结果:干预后,与对照组比较,干预组活化部分凝血活酶时间(APTT)[(39.22±2.04)s比(32.82±1.73)s]、凝血酶原时间(PT)[(14.32±0.39)s比(12.73±0.45)s]、左心室射血分数(LVEF)[(58.58±1.87)%比(53.58±1.48)%]显著增加;左室舒张末期内径(LVEDd)[(51.70±2.12)mm比(57.61±1.56)mm]显著减小;健康知识问卷得分[(78.95±2.27)分比(55.07±3.63)分]、Morisky用药依从性量表得分[(8.27±0.52)分比(6.28±0.89)分]、复查比例(93.65%比65.08%)显著提高,不良心血管事件总发生率(15.87%比36.51%)显著降低(P均<0.01)。结论:基于TRIZ理论的健康教育模式可有效改善SDHVD患者凝血功能、心功能水平,提高患者对该疾病的认识、服药及复查依从性,降低不良心血管事件发生率。Objective:To analyze the clinical effect of health education based on Theory of Inventive Problem Solving(TRIZ)mode in patients with senile degenerative heart valvular disease(SDHVD).Methods:This randomized controlled study enrolled 126 SDHVD patients admitted in Department of Cardiology,The First Affiliated Hospital of Xinjiang Medical University between May 2020 and October 2022.They were divided into control group(n=63,health education mode)and intervention group(n=63,health education based on TRIZ mode),and intervened for 3 months.Coagulation function,cardiac function indexes,mastery of health knowledge,incidence of adverse cardiovascular events,compliance of medication and review were compared between two groups.Results:After intervention,compared with patients in control group,those in intervention group had significant higher activated partial thromboplastin time(APTT)[(39.22±2.04)s vs.(32.82±1.73)s],prothrombin time(PT)[(14.32±0.39)s vs.(12.73±0.45)s],left ventricular ejection fraction(LVEF)[(58.58±1.87)%vs.(53.58±1.48)%],scores of health knowledge questionnaire[(78.95±2.27)points vs.(55.07±3.63)points]and Morisky Medication Adherence Scale-8[(8.27±0.52)points vs.(6.28±0.89)points]and proportion of review(93.65%vs.65.08%),and significant lower left ventricular end-diastolic diameter(LVEDd)[(51.70±2.12)mm vs.(57.61±1.56)mm]and total incidence of adverse cardiovascular events(15.87%vs.36.51%)(P<0.01 all).Conclusion:The health education mode based on TRIZ theory could effectively improve coagulation function and cardiac function,improve patients'understanding of the disease,medication and review compliance,and reduce incidence of adverse cardiovascular events in SDHVD patients.

关 键 词：心脏瓣膜疾病 发明问题解决理论 健康教育 

分 类 号：R542.5[医药卫生—心血管疾病]