摘要
目的提高冠心病患者疾病相关知识及二级预防行为,降低心脏不良事件发生率。方法将86例冠心病患者随机分为观察组和对照组各43例。对照组开展常规护理干预,观察组对患者及家属同时进行健康教育后由家属与患者互述教育内容,然后进行情景模拟训练。于入院时及出院后1、3个月评价两组患者康复知识及二级预防行为,冠心病危险因素控制情况,控制3个月内不良事件发生率。结果出院后第1、3个月末,观察组康复知识及预防行为评分显著高于对照组,危险因素控制中血压、运动达标率显著高于对照组(均P<0.05)。3个月内急性心肌梗死及不稳定心绞痛发生率显著低于对照组(均P<0.05)。结论冠心病患者与家属互述式教育结合情景模拟,可提高患者对疾病的预防意识,促进患者心功能康复。
Objective To improve disease related knowledge and secondary preventive behavior for patients with coronary heart disease,and to decrease the incidence of adverse cardiac events.Methods Totally 86 patients with coronary heart disease were randomized into an observation group and a control group,with 43 in each group.The control group received routine nursing intervention,while the patients and family members in the observation group were given nursing education,then they narrated the education content mutually,and were trained using scenario simulation.The rehabilitation knowledge,secondary prevention behavior of the two groups at admission and 1as well as 3months after discharge were assessed,and risk factors control of coronary heart disease and incidence of adverse events after control for 3months were also evaluated for the two groups.Results At the end of 1and3 months after discharge,the scores of rehabilitation knowledge and prevention behavior,and the reaching standard rate of blood pressure and exercise control in the observation group were significantly higher than those in the control group（P〈0.05 for all）,while the incidences of acute myocardial infarction and unstable angina pectoris were significantly lower than the control group（P〈0.05 for both）.Conclusion The mutual narrative education and scenario simulation for patients with coronary heart disease and their families could increase patients′disease prevention awareness,promote the rehabilitation of cardiac function in patients with and can improve the patient of disease prevention awareness,and improve their cardiac rehabilitation.
出处
《护理学杂志》
CSCD
2016年第23期5-8,共4页
Journal of Nursing Science
基金
2014年度南通市卫生局青年医学人才科研基金立项课题(WQZ2014030)
关键词
冠心病
健康教育
延续性护理
自我管理
心功能
疾病预防
coronary heart disease
health education
transitional care
self management
cardiac function
disease prevention
