老年冠心病患者介入治疗中健康教育的应用及对患者治疗依从性的影响

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摘要目的探讨老年冠心病（CHD）患者介入治疗中健康教育的应用及对患者治疗依从性的影响。方法回顾性分析2018年8月至2020年2月大连市第三人民医院收治的98 例老年CHD 介入治疗患者的临床资料，按照护理方式的不同分为对照组（49 例）与研究组（49 例）。对照组采用常规护理，研究组采用常规护理+加强健康教育，比较两组的负面情绪评分、临床症状改善情况、依从性和整体自我效能水平。结果两组护理前的焦虑和抑郁评分比较，差异无统计学意义（P＞0.05），两组护理后的焦虑和抑郁评分低于护理前，研究组护理后的焦虑和抑郁评分低于对照组，差异均有统计学意义（P<0.05）。两组护理前的心绞痛发作次数、心绞痛持续时间和心绞痛疼痛评分比较，差异无统计学意义（P＞0.05），两组护理后的心绞痛发作次数少于护理前，持续时间短于护理前，疼痛评分低于护理前，研究组护理后的心绞痛发作次数少于对照组，持续时间短于对照组，疼痛评分低于对照组，差异均有统计学意义（P<0.05）。研究组护理后的依从性高于对照组，研究组护理后的整体自我效能水平高于对照组，差异均有统计学意义（P<0.05）。结论老年CHD 患者介入治疗采取健康教育效果显著，能改善患者负面情绪和临床症状，还能提高患者依从性和自我效能，可推广应用。

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	宋金玲
	张平
	季玉梅

关键词 ：老年冠心病, 介入治疗, 健康教育, 治疗依从性, 自我效能

Abstract：Objective To explore the application of health education in interventional therapy for elderly patients with coronary heart disease(CHD)and its influence on patients′treatment compliance.Methods The clinical information of 98 elderly patients with CHD undergoing interventional therapy in Dalian Third People′s Hospital from August 2018 to February 2020 were analyzed retrospectively.The patients were divided into the control group(n=49)and the research group(n=49)according to the care method.The routine care was given to the control group,and the routine care plus strengthening health education was given to the research group.The negative emotion scores,the clinical symptom improvement,the treatment compliance,and the overall self-efficacy levels in the two groups were compared.Results There were no statistically significant differences in the anxiety and depression scores before care between the two groups(P＞0.05);the anxiety and depression scores after care in the two groups were lower than those before care,the anxiety and depression scores after care in the research group were lower than those in the control group,with statistical differences(P<0.05）.There were no statistically significant differences in the frequency of angina,the duration time of angina,and the angina pain score before care between the two groups(P＞0.05);the frequency of angina after care in the two groups were less than those before care,the duration time of angina after care in the two groups were shorter than those before care,the angina pain score after care in the two groups were lower than those before care,the frequency of angina after care in the research group was less than that in the control group,the duration time of angina after care in the research group was shorter than that in the control group,and the angina pain score after care in the research group was lower than that in the control group,with statistical differences(P＜0.05）.The treatment compliance after care in the research group was higher than that in the control group,the overall self-efficacy level after care in the research group was higher than that in the control group,with statistical differences(P<0.05）.Conclusion The effect of health education in the interventional therapy for elderly patients with CHD is significant.It can improve patients′negative emotions and clinical symptoms,and can also enhance patients′compliance and self-efficacy,which should be popularized and applied.

Key words： Senile coronary heart disease Interventional therapy Health education Treatment compliance Self-efficacy

引用本文:

宋金玲；张平；季玉梅. 老年冠心病患者介入治疗中健康教育的应用及对患者治疗依从性的影响[J]. 中国当代医药, 2021, 28(27): 256-260.
SONG Jin-ling；ZHANG Ping；JI Yu-mei. Application of health education in interventional therapy for elderly patients with coronary heart disease and its influence on patients′treatment compliance. 中国当代医药, 2021, 28(27): 256-260.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I27/256

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