中华老年多器官疾病杂志
中華老年多器官疾病雜誌
중화노년다기관질병잡지
CHINESE JOURNAL OF MULTIPLE ORGAN DISEASES IN THE ELDERLY
2013年
9期
681-684
,共4页
冠心病%经皮冠状动脉介入术%综合健康教育
冠心病%經皮冠狀動脈介入術%綜閤健康教育
관심병%경피관상동맥개입술%종합건강교육
coronary disease%percutaneous coronary intervention%comprehensive health education
目的探讨冠心病经皮冠状动脉介入治疗（PCI）术后患者综合健康教育干预模式的应用，并检验其效果。方法选取2012年1月至2012年3月106例行PCI术的患者，随机分为观察组和对照组各53例。对照组给予常规术后护理及宣教，观察组在此基础上采用综合健康教育模式，比较出院6个月、12个月冠心病心血管危险因素控制效果及再住院率情况。结果术后6个月，观察组血压（BP）、低密度脂蛋白胆固醇（LDL-C）及有氧活动达标率均显著高于对照组，差异有统计学意义（P＜0.05），而体质量指数（BMI）、空腹血糖、心电图（ECG）及再住院率与对照组间差异则无统计学意义（P＞0.05）；术后12个月，观察组BP、LDL-C、BMI、ECG、有氧活动达标率及再住院率均显著高于对照组，差异有统计学意义（P＜0.05）。结论实施综合健康教育干预，显著控制了PCI术后的危险因素，在一定程度上降低了患者的再住院率。
目的探討冠心病經皮冠狀動脈介入治療（PCI）術後患者綜閤健康教育榦預模式的應用，併檢驗其效果。方法選取2012年1月至2012年3月106例行PCI術的患者，隨機分為觀察組和對照組各53例。對照組給予常規術後護理及宣教，觀察組在此基礎上採用綜閤健康教育模式，比較齣院6箇月、12箇月冠心病心血管危險因素控製效果及再住院率情況。結果術後6箇月，觀察組血壓（BP）、低密度脂蛋白膽固醇（LDL-C）及有氧活動達標率均顯著高于對照組，差異有統計學意義（P＜0.05），而體質量指數（BMI）、空腹血糖、心電圖（ECG）及再住院率與對照組間差異則無統計學意義（P＞0.05）；術後12箇月，觀察組BP、LDL-C、BMI、ECG、有氧活動達標率及再住院率均顯著高于對照組，差異有統計學意義（P＜0.05）。結論實施綜閤健康教育榦預，顯著控製瞭PCI術後的危險因素，在一定程度上降低瞭患者的再住院率。
목적탐토관심병경피관상동맥개입치료（PCI）술후환자종합건강교육간예모식적응용，병검험기효과。방법선취2012년1월지2012년3월106례행PCI술적환자，수궤분위관찰조화대조조각53례。대조조급여상규술후호리급선교，관찰조재차기출상채용종합건강교육모식，비교출원6개월、12개월관심병심혈관위험인소공제효과급재주원솔정황。결과술후6개월，관찰조혈압（BP）、저밀도지단백담고순（LDL-C）급유양활동체표솔균현저고우대조조，차이유통계학의의（P＜0.05），이체질량지수（BMI）、공복혈당、심전도（ECG）급재주원솔여대조조간차이칙무통계학의의（P＞0.05）；술후12개월，관찰조BP、LDL-C、BMI、ECG、유양활동체표솔급재주원솔균현저고우대조조，차이유통계학의의（P＜0.05）。결론실시종합건강교육간예，현저공제료PCI술후적위험인소，재일정정도상강저료환자적재주원솔。
Objective To observe the application of comprehensive health education intervention in the patients after percutaneous coronary intervention (PCI) and evaluate the efficiency. Methods One hundred and six patients undergoing PCI in our institute from January 2012 to March 2012 were selected and divided into observation group and control group randomly (n=53). The patients in control group were given the routine treatment and traditional health education after surgery, while those from observation group were given the comprehensive health education intervention besides routine treatment. The efficiency of control of the risk factors of coronary heart diseases and the rate of rehospitalization were compared between the 2 groups at 6, 12 months after discharge from hospital. Results Blood pressure (BP), low density lipoprotein cholesterol (LDL-C) level and the rate of completing aerobic exercise were significantly better in observation group than in control group at 6 months after PCI(P<0.05), while, there was no difference in body mass index (BMI), fasting plasma glucose, electrocardiogram (ECG) and rehospitalization rate between the 2 groups(P>0.05). At 12 months after PCI, the BP value, LDL-C level, BMI, ECG, the rate of aerobic exercise, and rehospitalization rate were all well controlled in observation group than in control group, and the difference was statistically significant(P<0.05). Conclusion Comprehensive health education intervention significantly controls the risk factors after PCI, and then decreases the rate of rehospitalization.
