摘要
目的探讨系统性健康教育对既往有过心肌梗死的患者预后的影响。方法选取2014年7月~2018年4月郑州人民医院收治的心肌梗死患者48例,随机分为两组,对照组24例采用常规的方法进行健康教育,观察组24例采用系统性健康教育。比较两组患者住院期间健康教育前后SAQ评分、出院后临床疗效、出院后患者生活方式得分。结果系统性健康教育后,观察组SAQ评分高于对照组,差异有统计学意义(P<0.05);观察组再入院率、复发率、病死率均低于对照组,差异有统计学意义(χ~2=4.513、5.911、6.842,P<0.05);观察组饮食、活动、服药、检查、情绪得分均高于对照组,差异有统计学意义(t=9.194、10.212、11.617、12.869、13.468,P<0.05);观察组遵医率95.83%(23/24),高于对照组87.50%(21/24),差异有统计学意义(χ~2=4.851,P<0.05)。结论为防止既往有过心肌梗死的患者再次复发过程当中,系统性健康教育的效果理想,降低患者的复发率。
Objective To discuss the impact of systemic health education on disease recurrence and prognosis of patients with previous myocardial infarction.Methods Forty-eight patients with myocardial infarction admitted to Zhengzhou People′s Hospital from July 2014 to April 2018 were enrolled and randomly divided into two groups.Patients in the control group received regular health education,while those in the observation group received systematic health education.The SAQ scores before and after systemic health education during hospital stay,the clinical efficacy and the lifestyle scores after discharge between the two groups were compared.Results There was no significant difference in SAQ scores between the two groups before systemic health education(P>0.05),while after the education,the SAQ score of patients in the observation group was higher than that of those in the control group(P<0.05).The readmission rate,recurrence rate and mortality of the observation group were significantly lower compared to the control group(P<0.05),while the lifestyle score was significantly higher(P<0.05).Conclusions The systemic health education can effectively prevent the recurrence of patients with previous myocardial infarction,improve the prognosis of patients.
作者
耿娟娟
秦福芳
GENG Juan-juan;QIN Fu-fang(Zhengzhou People′s Hospital,Zhengzhou,Henan 450008,China)
出处
《中国预防医学杂志》
CAS
CSCD
2020年第6期601-603,共3页
Chinese Preventive Medicine
基金
国家自然科学基金资助项目(81500362)
关键词
系统性健康教育
出院
心肌梗死
复发
预后
Systemic health education
Discharge
Patients with myocardial infarction
Recurrence
Prognosis
