中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
5期
543-545
,共3页
健康教育%冠心病%焦虑%冠状动脉介入术
健康教育%冠心病%焦慮%冠狀動脈介入術
건강교육%관심병%초필%관상동맥개입술
Health education%Coronary heart disease%Anxiety%Percutaneous coronary intervention
目的 探讨适合冠状动脉介入术患者的健康教育方式,以缓解患者介入术前焦虑情绪,为临床开展高质量健康教育提供科学依据.方法 选取420例首次择期行冠状动脉介入术的冠心病患者为研究对象,根据患者手术单双日的不同随机分为对照组(n=210)和实验组(n=210),对照组采取个体式健康教育,实验组采取集体式健康教育.健康教育前后采用焦虑自评量表(SAS)测定患者焦虑情况,比较健康教育前后两组焦虑发生率及SAS评分.结果 健康教育前64.8％对照组患者及65.7％实验组患者存在焦虑情绪,两组比较差异无统计学意义(x2=0.04,P＞0.05);健康教育后两组焦虑发生率均较教育前降低且实验组焦虑发生率(17.1％)低于对照组(27.6％),差异具有统计学意义(x2=6.63,P＜0.05);健康教育前对照组SAS评分为(53.85±3.78)分,与实验组(53.57±4.89)分比较差异无统计学意义(P＞0.05);健康教育后对照组与实验组评分(45.65±0.94),(42.18±1.29)分均低于健康教育前,差异均有统计学意义(t分别为6.24,7.76;P＜0.05);并且健康教育后实验组SAS评分低于对照组,差异具有统计学意义(t=7.39,P＜0.05).结论 健康教育能够缓解冠心病患者冠状动脉介入术前焦虑情绪,集体式健康教育在减少焦虑人数及缓解患者焦虑程度上优于个体式健康教育.
目的 探討適閤冠狀動脈介入術患者的健康教育方式,以緩解患者介入術前焦慮情緒,為臨床開展高質量健康教育提供科學依據.方法 選取420例首次擇期行冠狀動脈介入術的冠心病患者為研究對象,根據患者手術單雙日的不同隨機分為對照組(n=210)和實驗組(n=210),對照組採取箇體式健康教育,實驗組採取集體式健康教育.健康教育前後採用焦慮自評量錶(SAS)測定患者焦慮情況,比較健康教育前後兩組焦慮髮生率及SAS評分.結果 健康教育前64.8％對照組患者及65.7％實驗組患者存在焦慮情緒,兩組比較差異無統計學意義(x2=0.04,P＞0.05);健康教育後兩組焦慮髮生率均較教育前降低且實驗組焦慮髮生率(17.1％)低于對照組(27.6％),差異具有統計學意義(x2=6.63,P＜0.05);健康教育前對照組SAS評分為(53.85±3.78)分,與實驗組(53.57±4.89)分比較差異無統計學意義(P＞0.05);健康教育後對照組與實驗組評分(45.65±0.94),(42.18±1.29)分均低于健康教育前,差異均有統計學意義(t分彆為6.24,7.76;P＜0.05);併且健康教育後實驗組SAS評分低于對照組,差異具有統計學意義(t=7.39,P＜0.05).結論 健康教育能夠緩解冠心病患者冠狀動脈介入術前焦慮情緒,集體式健康教育在減少焦慮人數及緩解患者焦慮程度上優于箇體式健康教育.
목적 탐토괄합관상동맥개입술환자적건강교육방식,이완해환자개입술전초필정서,위림상개전고질량건강교육제공과학의거.방법 선취420례수차택기행관상동맥개입술적관심병환자위연구대상,근거환자수술단쌍일적불동수궤분위대조조(n=210)화실험조(n=210),대조조채취개체식건강교육,실험조채취집체식건강교육.건강교육전후채용초필자평량표(SAS)측정환자초필정황,비교건강교육전후량조초필발생솔급SAS평분.결과 건강교육전64.8％대조조환자급65.7％실험조환자존재초필정서,량조비교차이무통계학의의(x2=0.04,P＞0.05);건강교육후량조초필발생솔균교교육전강저차실험조초필발생솔(17.1％)저우대조조(27.6％),차이구유통계학의의(x2=6.63,P＜0.05);건강교육전대조조SAS평분위(53.85±3.78)분,여실험조(53.57±4.89)분비교차이무통계학의의(P＞0.05);건강교육후대조조여실험조평분(45.65±0.94),(42.18±1.29)분균저우건강교육전,차이균유통계학의의(t분별위6.24,7.76;P＜0.05);병차건강교육후실험조SAS평분저우대조조,차이구유통계학의의(t=7.39,P＜0.05).결론 건강교육능구완해관심병환자관상동맥개입술전초필정서,집체식건강교육재감소초필인수급완해환자초필정도상우우개체식건강교육.
Objective To explore appropriate health education method for patients receive coronary intervention operation to alleviate patients' anxiety and provide some scientific evidence for clinical to launch high quality nursing education.Methods According to the different days,totals of 420 patients with first coronary intervention operation were selected and randomly divided into control group (210 cases )and experimental group (210 cases).Control group received individual pattern health education,while experimental group received group patten health education.All patients were investigated with self-anxiety scale(SAS) before and after health education,then the incidence of anxiety and SAS score between two groups were compared.Results Before health education,64.8％ patients of control group and 65.7％ patients of experimental group existed anxiety,and the difference was statistically significant (x2=0.04,P ＞0.05 ).After education,the anxiety incidence of two groups lower than before education,experimental group ( 17.1％ ) was lower than control group( 27.6％ ),and the difference was statistically significant( x2=6.63,P ＜0.05 ).Before education,the SAS score of control group was ( 53.85 ± 3.78 ) and experimental group was ( 53.57 ± 4.89 ),and the difference was no statistically significant ( P ＞ 0.05 ).After education,the SAS score of control group and experimental group was (45.65 ±0.94),(42.18 ± 1.29),respectively,lower than before education,and the difference was statistically significant ( t=6.24,7.76,respectively; P ＜ 0.05 ).Also,the SAS score of experimental group lower than that of control group the difference was statistically significant ( t=7.39,P ＜0.05 ).Conclusions Health education for patients with coronary intervention can alleviate their pre-operation anxiety,and group patten health education is better than individual pattern health education in reducing anxiety patients number and alleviate patients' anxiety.
