个性化健康教育护理对于急性冠脉综合征患者预后影响的分析  

The prognosis effects analysis of personalized health care education for the elderly patients with acute coronary syndrome

作　　者：赖春燕 林慕如[1] 林小洁[1] 刘时武[1] LAI Chunyan;LIN Muru;LIN Xiaojie;LIU Shiwu(Department of Cardiology,Hainan General Hospital(Hainan Affiliated Hospital of Hainan Medical University),Haikou 570311,China)

机构地区：[1]海南省人民医院(海南医学院附属海南医院心血管内科二区),海南海口570311

出　　处：《包头医学院学报》2025年第4期73-76,共4页Journal of Baotou Medical College

基　　金：海南省自然科学基金项目(20158340)。

摘　　要：目的:探讨个性化健康教育护理对于急性冠脉综合征患者预后的影响。方法:选择2017年8月至2020年2月在本院住院诊治的160例老年急性冠脉综合征患者,根据随机数字表法分为治疗组与对照组,每组各80例。两组均进行常规检查与治疗,对照组给予传统健康教育方法,治疗组在此基础上加用个性化健康教育护理,比较两组患者的遵医依从性、不良反应、心功能与心理变化情况。结果:住院期间,治疗组与对照组依从性分别为97.5%和88.8%,治疗组的依从性高于对照组(P<0.05);治疗组不良反应总发生率低于对照组(P<0.05)。两组护理后的左室舒张末期容积和左室收缩末期容积低于护理前(P<0.05),护理后治疗组左室舒张末期容积和左室收缩末期容积低于对照组(P<0.05);护理后两组焦虑与抑郁评分低于护理前(P<0.05),治疗组的焦虑与抑郁评分低于对照组(P<0.05)。结论:个性化健康教育护理能提高急性冠脉综合征患者依从性,降低患者在院期间的不良反应,缓解心理障碍,从而有利于心功能的改善。Objective:To explore the effect of personalized health education and nursing on the prognosis of patients with acute coronary syndrome.Methods:A total of 160 elderly patients with acute coronary syndrome hospitalized in our hospital from August 2017 to February 2020 were selected.The patients were randomly divided into treatment group and control group with 80 cases in each group,both groups were given routine examination and treatment.During hospitalization,the control group was given traditional health education,while the treatment group was given personalized health education and nursing on this basis.The compliance,adverse reactions,cardiac function and psychological changes were compared between the two groups.Results:The compliance of the treatment group and the control group during hospitalization was 97.5% and 88.8% respectively.The compliance of the treatment group was higher than that of the control group(P<0.05).The total incidence of adverse reactions in the treatment group was lower than that in the control group(P<0.05).LVEDV and LVESV in the two groups after nursing were lower than those before nursing(P<0.05),and LVEDV and LVESV in the treatment group after nursing were lower than those in the control group(P<0.05).The scores of anxiety and depression in the two groups after nursing were lower than those before nursing(P<0.05),and the scores of anxiety and depression in the treatment group after nursing were lower than those in the control group(P<0.05).Conclusion:The application of personalized health education and nursing care in patients with acute coronary syndrome can promote the improvement of patients'compliance,reduce the adverse reactions of patients in hospital,alleviate psychological barriers,and thus be conducive to the improvement of cardiac function.

关 键 词：个性化健康教育护理 老年人 急性冠脉综合征 

分 类 号：R473.5[医药卫生—护理学]