中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
17期
1997-2001
,共5页
冠心病%健康教育%随访研究
冠心病%健康教育%隨訪研究
관심병%건강교육%수방연구
Coronary heart disease%Health education%Follow-up
目的 探讨“冠脉症状及早应对”健康教育对冠心病患者心脏病发作应对水平干预效果.方法 采用目的抽样法选取2008年7月至2009年1月某三甲医院冠心病患者91例,依据患者住院楼层不同分为干预组45例和对照组46例,干预组患者入院后4d内接受2次30 min“冠脉症状及早应对”健康教育,及出院后2次10～15 min电话随访加强干预,对照组患者接受常规科室健康教育及相同频次随访.以心脏病发作应对问卷作为评价工具在入院时、出院时、出院后1、3个月进行冠脉症状知识与应对态度测评.结果 干预组知识(30.27±2.83)分、态度(7.00±1.41)分、控制(33.10±3.84)分,对照组知识(30.39±3.27)分、态度(7.37±1.66)分、控制(34.88±5.11)分,两组比较差异无统计学意义(t分别为0.180,1.076,1.784;P＞0.05).两组入院时、出院时、出院后1、3个月,在症状、EMS、知识、态度、控制五个变量方面,时间效应与干预效应及两者之间比较,差异有统计学意义(P＜0.05或P＜0.01).结论 “冠脉症状及早应对”健康教育,可以提高患者心脏病发作应对知识、态度与控制水平,干预效果有时间持续性.
目的 探討“冠脈癥狀及早應對”健康教育對冠心病患者心髒病髮作應對水平榦預效果.方法 採用目的抽樣法選取2008年7月至2009年1月某三甲醫院冠心病患者91例,依據患者住院樓層不同分為榦預組45例和對照組46例,榦預組患者入院後4d內接受2次30 min“冠脈癥狀及早應對”健康教育,及齣院後2次10～15 min電話隨訪加彊榦預,對照組患者接受常規科室健康教育及相同頻次隨訪.以心髒病髮作應對問捲作為評價工具在入院時、齣院時、齣院後1、3箇月進行冠脈癥狀知識與應對態度測評.結果 榦預組知識(30.27±2.83)分、態度(7.00±1.41)分、控製(33.10±3.84)分,對照組知識(30.39±3.27)分、態度(7.37±1.66)分、控製(34.88±5.11)分,兩組比較差異無統計學意義(t分彆為0.180,1.076,1.784;P＞0.05).兩組入院時、齣院時、齣院後1、3箇月,在癥狀、EMS、知識、態度、控製五箇變量方麵,時間效應與榦預效應及兩者之間比較,差異有統計學意義(P＜0.05或P＜0.01).結論 “冠脈癥狀及早應對”健康教育,可以提高患者心髒病髮作應對知識、態度與控製水平,榦預效果有時間持續性.
목적 탐토“관맥증상급조응대”건강교육대관심병환자심장병발작응대수평간예효과.방법 채용목적추양법선취2008년7월지2009년1월모삼갑의원관심병환자91례,의거환자주원루층불동분위간예조45례화대조조46례,간예조환자입원후4d내접수2차30 min“관맥증상급조응대”건강교육,급출원후2차10～15 min전화수방가강간예,대조조환자접수상규과실건강교육급상동빈차수방.이심장병발작응대문권작위평개공구재입원시、출원시、출원후1、3개월진행관맥증상지식여응대태도측평.결과 간예조지식(30.27±2.83)분、태도(7.00±1.41)분、공제(33.10±3.84)분,대조조지식(30.39±3.27)분、태도(7.37±1.66)분、공제(34.88±5.11)분,량조비교차이무통계학의의(t분별위0.180,1.076,1.784;P＞0.05).량조입원시、출원시、출원후1、3개월,재증상、EMS、지식、태도、공제오개변량방면,시간효응여간예효응급량자지간비교,차이유통계학의의(P＜0.05혹P＜0.01).결론 “관맥증상급조응대”건강교육,가이제고환자심장병발작응대지식、태도여공제수평,간예효과유시간지속성.
Objective To explore the effect of the health education regarding early mtervention with coronary symptoms in coronary heart disease patients with heart attacks.Methods Purposive sampling was used to investigate 91 coronary heart disease patients,and they were divided into intervention group (45 cases) and control group (46 cases) according to their different hospital floor.Intervention group received two times 30 min health education regarding early dealing with coronary symptoms after 4 d in-hospital,and the two times 10 ～15 min telephone follow-up after discharged.Control group received the routine health education and follow-up.The questionnaire in term of dealing with heart attacks was used to investigate the knowledge and coping manner of patients in admission to hospital,discharge from hospital,one and three months after discharged.Results The score of knowledge,attitude,and control of intervention group respectively was (30.27 ± 2.83),( 7.00 ± 1.41 ),( 33.10 ± 3.84),and that of control group respectively was ( 30.39 ± 3.27 ),(7.37 ± 1.66),(34.88 ± 5.11 ),and the difference was no statistically significant ( t =0.180,1.076,1.784,respectively ;P ＞0.05).The difference between two groups in the symptom,EMS,knowledge,attitude,control,time effect and intervention effect was statistically significant respectively in admission to hospital,discharge from hospital,one and three months after discharge ( P ＜ 0.05 or P ＜ 0.01 ).Conclusions The health education regarding early intervention with coronary symptoms can improve the level of the coping knowledge,attitude and control of patients with coronary heart disease,and the intervention effect is persistence.
