心血管病患者家庭成员急救知识的调查与对策  

Survey and Tactic of Curing Knowledge about Emergency Cases with Heart Disease for Patient’s Relatives

作　　者：韦正莉[1] 陈务贤[1] 梁榕[1] 陆燕燕[1] 李秋云[1] 邓华鹃[1] 

机构地区：[1]广西医科大学第一附属医院心血管内科,530027

出　　处：《齐齐哈尔医学院学报》2004年第1期8-10,共3页Journal of Qiqihar Medical University

摘　　要：目的　探讨对心血管病患者家属开展现场医学急救知识专项健康教育的效果 ,并对其效果进行评价 ,以便推广。方法　将易诱发的心源性猝死的 2 0 0名心血管病患者的主要照顾者 ,随机分成两组。进行双盲法研究。实验组接受急救医学知识专项培训 ,对照组接受常规护理 ,观察两组家属急救知识的知晓率 ,分析患者的焦虑、抑郁程度。结果　实验组对医学急救知识的了解程度由 33%提高到81% ,对照组从 2 7%提高到 4 5 %。焦虑抑郁的评分 ,实验组分别由 (0 .6 1± 0 .14 )降至 (0 .4 1± 0 .0 8)、(35 .81± 10 .75 )降至 (30 .78± 6 .6 1) ;对照组分别由 (0 .6 3± 0 .18)下降为 (0 .5 9± 0 .0 7) ,(34.6 7± 9.4 8)下降为 (34.0 7± 8.0 2 ) ,两组比较差异均有显著性 (P<0 .0 5 )。结论　开展现场医学急救知识为主要内容的专项健康教育 ,能有效提高猝死高发的心血管病患者家属的急救能力 ,减轻患者的焦虑抑郁水平 ,有利于提高院外猝死的急救水平。Objective To discuss and evaluate the effects of developing first aid knowledge special purpose health education in cardiovascular disease patient’s family members. Methods Two hundreds cardiovascular disease patient’s family members were randomly divided into experiment group and control group. The study was performed in a double-blind method. The family members in experiment group accepted special purpose emergent knowledge training, whereas the family members in control group accepted routine nursing training. The cognition rate of emergent knowledge in family members and the degree of anxiety and depression in patients were compared between two groups. Results The cognition rate of emergent knowledge in family members increased from 33% to 81% in experiment group, and from 27% to 45% in control group. The scores of anxiety and depression in patients decreased from (0.61±0.14) to (0.41±0.08), and from (35.81±10.75) to (30.78±6.61), respectively, in experiment group; and from (0.63±0.18) to (0.59±0.07), and from (34.67±9.48) to (34.07±8.02), respectively, in control group. There was significantly difference between two groups. Conclusions Developing first aid knowledge special purpose health education can rise the emergent ability of cardiovascular disease patient’s family member, relieve the degree of anxiety and depression in patients, and rise the level of our-hospital emergency for sudden death.

关 键 词：心血管病 家庭成员 急救知识 健康教育 心源性猝死 

分 类 号：R541[医药卫生—心血管疾病] R459.7[医药卫生—内科学]