同质医疗健康教育模式对冠心病病人PCI术后生活方式的影响
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摘要
目的:探讨同质医疗健康教育模式对冠心病吸烟病人经皮冠状动脉介入(PCI)术后预后与戒烟效果的影响。方法:纳入140例行PCI术治疗的冠心病吸烟病人,随机分为观察组和对照组,各70例,其中对照组采用常规护理方法干预,观察组采用同质医疗健康教育模式,对2组病人的戒烟效果、饮食达标率、体检指标(三酰甘油、低密度脂蛋白胆固醇)、运动达标率进行比较分析。结果:干预后,观察组戒烟率、运动达标率、饮食达标率均明显高于对照组(P<0.01);收缩压、总胆固醇、腹围、体质量指数、低密度脂蛋白胆固醇改善程度均优于对照组(P<0.05～P<0.01)。结论:PCI术后采用同质医疗健康教育模式有利于改变病人不良的生活习惯,提高戒烟率与病人的临床预后。
Objective:To investigate the effects of homogeneous medical health education model on clinical outcome and quitting smoking in patients with coronary heart disease(CHD) after percutaneous coronary intervention(PCI).Methods:A total of 140 CHD patients with smoking after PCI were randomly divided into the observation group(70 cases) and control group(70 cases).The control group was nursed with routine nursing intervention,and the observation group was nursed with homogeneous medical health education model.The quitting smoking effect,diet compliance rate,physical examination indexes[triglyceride(TG),low density lipoprotein cholesterol(LDL-C) and target rate of movement] were compared between two groups.Results:After intervention,the quitting smoking rate,target rate of quitting smoking and diet compliance rate in observation group were significantly higher than those in control group(P<0.01).The improvement of systolic blood pressure,TG,abdominal circumference,body mass index and LDL-C in observation group were better than those in control group(P<0.05 to P<0.01).Conclusions:Homogeneous medical health education model after PCI is helpful to improve the bad living habits,quitting smoking rate and clinical prognosis of patients.
Objective:To investigate the effects of homogeneous medical health education model on clinical outcome and quitting smoking in patients with coronary heart disease(CHD) after percutaneous coronary intervention(PCI).Methods:A total of 140 CHD patients with smoking after PCI were randomly divided into the observation group(70 cases) and control group(70 cases).The control group was nursed with routine nursing intervention,and the observation group was nursed with homogeneous medical health education model.The quitting smoking effect,diet compliance rate,physical examination indexes[triglyceride(TG),low density lipoprotein cholesterol(LDL-C) and target rate of movement] were compared between two groups.Results:After intervention,the quitting smoking rate,target rate of quitting smoking and diet compliance rate in observation group were significantly higher than those in control group(P<0.01).The improvement of systolic blood pressure,TG,abdominal circumference,body mass index and LDL-C in observation group were better than those in control group(P<0.05 to P<0.01).Conclusions:Homogeneous medical health education model after PCI is helpful to improve the bad living habits,quitting smoking rate and clinical prognosis of patients.
引文
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[9]郑江红,连瑞华,赵丽花,等.50岁以上男女性冠心病病人冠脉介入治疗的近远期疗效观察[J].现代中西医结合杂志,2014,2(8):24.
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[11]许丽敏,李湘萍,洪宝丽.经皮冠状动脉介入治疗术后病人一级预防知识及行为的调查研究[J].中华护理杂志,2010,45(2):135.
[12]何彩勤,陈美容,严玉兰,等.PCI术后病人服药依从性的观察及护理[J].国际医药卫生导报,2010,16(1):86.
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[14]郭惠娟,何华英,代淑莉,等.冠心病病人PCI术后合并抑郁及相关因素调查[J].中华现代护理杂志,2014,20(5):12.
[15]梁海群.家属同步健康教育对PCI术后老年病人服药依从性的影响[J].护理实践与研究,2012,9(5):6.
[2]何水云.健康宣教对PCI病人术后心理状态的影响[J].中国实用医药,2013,8(1):15.
[3]张俊英.冠心病介入诊疗术后血管并发症的原因及护理对策分析[J].中国医学创新,2014,6(22):40.
[4]谢博钦,徐丽华.冠心病病人自我管理行为现况及其预测因子分析[J].解放军护理杂志,2011,28(3B):3.
[5]罗子超,温煜赞,杨咏瑶,等.动机性访谈的戒烟治疗效果之研究[C].第六届两岸四地烟害防制交流研讨会论文集,2012:58.
[6]管学妹,沈根海,沈瑜,等.视频健康教育在快速康复外科中的应用效果[J].徐州医学院学报,2016,36(9):625.
[7]王春彬,蔡琳,周名纲,等.冠心病病人介入术后随访管理对康复和预后的影响[J].中国慢性病预防与控制,2013,21(6):25.
[8]郭良敏,张敏英,段慧.“健康教育和随访机制”系统干预冠心病危险因素效益评估[J].现代医药卫生,2012,6(22):34.
[9]郑江红,连瑞华,赵丽花,等.50岁以上男女性冠心病病人冠脉介入治疗的近远期疗效观察[J].现代中西医结合杂志,2014,2(8):24.
[10]庞清凌.冠心病病人生活质量研究的护理文献分析[J].河南大学学报(医学版),2010,29(3):222.
[11]许丽敏,李湘萍,洪宝丽.经皮冠状动脉介入治疗术后病人一级预防知识及行为的调查研究[J].中华护理杂志,2010,45(2):135.
[12]何彩勤,陈美容,严玉兰,等.PCI术后病人服药依从性的观察及护理[J].国际医药卫生导报,2010,16(1):86.
[13]闫静.冠心病介入治疗术后常见的并发症及其护理进展[J].中国医药指南,2014,6(24):23.
[14]郭惠娟,何华英,代淑莉,等.冠心病病人PCI术后合并抑郁及相关因素调查[J].中华现代护理杂志,2014,20(5):12.
[15]梁海群.家属同步健康教育对PCI术后老年病人服药依从性的影响[J].护理实践与研究,2012,9(5):6.