授权教育饮食管理在出院心肌梗死患者中的应用研究
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摘要
目的探究授权教育饮食管理对出院心肌梗死患者营养状况和生活质量的影响。方法 128例心肌梗死出院患者按照随机数表法随机分为观察组和对照组,各64例。观察组行授权教育饮食管理,对照组行常规教育饮食管理,比较分析两组患者出院时、出院2个月以及出院4个月后的营养状况和生活质量。结果饮食管理2个月和4个月之后,两组患者的营养程度比较,差异均有统计学意义(P<0.05);观察组患者血清白蛋白水平均高于对照组,差异均有统计学意义(P<0.05);观察组患者SF-36健康调查量表各维度得分均高于对照组,差异均有统计学意义(P<0.05)。结论授权教育饮食管理可改善出院心肌梗死患者的营养状况以及生活质量。
Objective To evaluate the efficacy of empowerment education based diet management in improving the nutritional status and quality of life of discharged patients with myocardial infarction. Methods Firstly,128 discharged patients of myocardial infarction were randomly divided into an experimental group( n = 64) and a control group( n = 64). The experimental group were subjected to empowerment education based diet management. The control group were subjected to the traditional education based diet management. The nutritional status and quality of life of the two groups as observed at the time of discharge,two months after discharge and four months after discharge were recorded and compared. Results Two months and four months after diet management,significant difference was found between the two groups in nutritional status( P<0.05). The serum albumin levels of the experimental group were higher than those of the control group( P<0.05). The SF-36 scores of the experimental group were higher than those of the control group( P<0.05). Conclusions Empowerment education based diet management can effectively improve the nutritional status and quality of life of the discharged patients of myocardial infarction.
Objective To evaluate the efficacy of empowerment education based diet management in improving the nutritional status and quality of life of discharged patients with myocardial infarction. Methods Firstly,128 discharged patients of myocardial infarction were randomly divided into an experimental group( n = 64) and a control group( n = 64). The experimental group were subjected to empowerment education based diet management. The control group were subjected to the traditional education based diet management. The nutritional status and quality of life of the two groups as observed at the time of discharge,two months after discharge and four months after discharge were recorded and compared. Results Two months and four months after diet management,significant difference was found between the two groups in nutritional status( P<0.05). The serum albumin levels of the experimental group were higher than those of the control group( P<0.05). The SF-36 scores of the experimental group were higher than those of the control group( P<0.05). Conclusions Empowerment education based diet management can effectively improve the nutritional status and quality of life of the discharged patients of myocardial infarction.
引文
[1]韦薇,戴霞,李赛花,等.授权原理与多阶段改变理论相结合的教育模式对老年糖尿病患者饮食自我管理的影响[J].护士进修杂志,2015,30(14):1251-1253.
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[12]王淑锦.生命力护理干预对中青年心肌梗死患者的自我管理能力和生活质量的影响[J].中国急救复苏与灾害医学杂志,2016,11(4):392-394.
[13]罗海燕,彭月娥,刘杰妮.琥珀酸美托洛尔缓释片联合稳心颗粒治疗心肌[J].世界中医药,2013,8(7):768-770.
[14]张佳.基于社区的自我管理模式对心肌梗死患者健康状态、心理状态及自我效能的影响[J].齐鲁护理杂志,2017,23(3):10-12.
[15]夏裕,郑壁伟,李平宝.益气通痹汤对心肌梗死患者心功能及血管内皮功能的影响[J].世界中医药,2017,12(5):1021-1024.
[16]徐东晓,宋静,童素梅,等.冠状动脉内支架植入术后患者饮食依从性及影响因素的研究[J].护理管理杂志,2015,15(12):843-845.
[17]Guven Bagla A,Ercan E,Asgun HF,et al.Experimental acute myocardial infarction in rats:HIF-1α,caspase-3,erythropoietin and erythropoietin receptor expression and the cardioprotective effects of two different erythropoietin doses[J].Acta Histochem,2013,115(7):658-668.
[18]韦春,戴霞,王自秀,等.授权原理与多阶段改变理论相结合的模式在青少年糖尿病饮食管理的应用[J].广西医学,2014,43(10):1479-1480,1483.
[19]王芸香,邢玉龙,刘华英,等.以家庭为基础的症状自我管理项目在心肌梗死患者中的应用[J].中华现代护理杂志,2017,23(26):3343-3349.
[2]杜爱燕,周薇,范建桢,等.维持性血液透析患者基于授权教育饮食管理的效果观察[J].护理学报,2017,24(8):65-68.
[3]张莹,苏敬泽,高铸烨,等.心肌梗死PCI术后患者焦虑抑郁状态的中医证候分布特点研究[J].世界中医药,2015,10(6):938-941.
[4]张慧,林征.授权教育在提高腹膜透析病人依从性中的应用[J].护理研究,2011,25(27):2456-2458.
[5]Paradela-Dobarro B,Raposeiras-Roubín S,Rodi1o-Janeiro BK,et al.Statins modulate feedback regulation mechanisms between advanced glycation end-products and C-reactive protein:Evidence in patients with acute myocardial infarction[J].Eur J Pharm Sci,2013,49(4):512-518.
[6]孙月明,王晓娣,姚宁.授权教育在糖尿病患者自我管理能力及血糖控制中的应用[J].实用临床医药杂志,2016,20(16):58-60,67.
[7]李婵,张杰,闫丽媛.授权教育对尿毒症血液透析患者疾病认知水平及自护能力的影响[J].现代中西医结合杂志,2017,26(2):220-222.
[8]Formiga FR,Pelacho B,Garbayo E,et al.Controlled delivery of fibroblast growth factor-1 and neuregulin-1 from biodegradablemicroparticles promotes cardiac repair in a rat myocardial infarction model through activation of endogenous regeneration[J].J Control Release,2014,173:132-139.
[9]Wang H,Shi J,Wang Y,et al.Promotion of cardiac differentiation of brown adipose derived stem cells by chitosan hydrogel for repair after myocardial infarction[J].Biomaterials,2014,35(13):3986-3998.
[10]Moon HH,Joo MK,Mok H,et al.MSC-based VEGF gene therapy in rat myocardial infarction model using facial amphipathic bile acid-conjugated polyethyleneimine[J].Biomaterials,2014,35(5):1744-1754.
[11]陆红,朱世论.以家庭为基础的心血管自我管理项目对老年心肌梗死患者生活质量、心理状态以及生理功能的影响[J].中国心血管病研究,2017,15(5):440-445.
[12]王淑锦.生命力护理干预对中青年心肌梗死患者的自我管理能力和生活质量的影响[J].中国急救复苏与灾害医学杂志,2016,11(4):392-394.
[13]罗海燕,彭月娥,刘杰妮.琥珀酸美托洛尔缓释片联合稳心颗粒治疗心肌[J].世界中医药,2013,8(7):768-770.
[14]张佳.基于社区的自我管理模式对心肌梗死患者健康状态、心理状态及自我效能的影响[J].齐鲁护理杂志,2017,23(3):10-12.
[15]夏裕,郑壁伟,李平宝.益气通痹汤对心肌梗死患者心功能及血管内皮功能的影响[J].世界中医药,2017,12(5):1021-1024.
[16]徐东晓,宋静,童素梅,等.冠状动脉内支架植入术后患者饮食依从性及影响因素的研究[J].护理管理杂志,2015,15(12):843-845.
[17]Guven Bagla A,Ercan E,Asgun HF,et al.Experimental acute myocardial infarction in rats:HIF-1α,caspase-3,erythropoietin and erythropoietin receptor expression and the cardioprotective effects of two different erythropoietin doses[J].Acta Histochem,2013,115(7):658-668.
[18]韦春,戴霞,王自秀,等.授权原理与多阶段改变理论相结合的模式在青少年糖尿病饮食管理的应用[J].广西医学,2014,43(10):1479-1480,1483.
[19]王芸香,邢玉龙,刘华英,等.以家庭为基础的症状自我管理项目在心肌梗死患者中的应用[J].中华现代护理杂志,2017,23(26):3343-3349.