CAJ | 학술논문

目的：探讨有效的冠心病二级预防模式，从而减少心血管事件发生，降低病死率。方法：对入选的115例冠心病患者，采取“多学科-社区-家庭”模式进行二级预防，观察患者冠心病危险因素及各相关指标的控制情况，患者生活方式、服药依从性、冠心病常识掌握改善情况。结果：经此模式进行二级预防的患者，对冠心病知识掌握率、服药依从性均明显提高(均 P<0.05)，不良生活方式明显改善( P<0.05)。血脂、血压、血糖、体重指数等指标较入院时显著改善(均 P<0.05)。结论：“多学科-社区-家庭”冠心病二级预防模式，可以有效的控制患者的冠心病危险因素，从而降低心血管事件的发生，提高患者生活质量。
목적：탐토유효적관심병이급예방모식，종이감소심혈관사건발생，강저병사솔。방법：대입선적115례관심병환자，채취“다학과-사구-가정”모식진행이급예방，관찰환자관심병위험인소급각상관지표적공제정황，환자생활방식、복약의종성、관심병상식장악개선정황。결과：경차모식진행이급예방적환자，대관심병지식장악솔、복약의종성균명현제고(균 P<0.05)，불량생활방식명현개선( P<0.05)。혈지、혈압、혈당、체중지수등지표교입원시현저개선(균 P<0.05)。결론：“다학과-사구-가정”관심병이급예방모식，가이유효적공제환자적관심병위험인소，종이강저심혈관사건적발생，제고환자생활질량。
Objective:To explore the effective secondary prevention model for coronary heart disease, in order to reduce cardi-ovascular events and reduce the case fatality rate. Methods:The selected 115 patients with coronary heart disease were given the sec-ondary prevention through a “multidisciplinary-community-family” model; then the coronary heart disease risk factors and control of the relevant indicators were observed, and the improvements of lifestyle, medication compliance, and coronary heart disease common sense of the patients were also observed. Results: By means of this model for the secondary prevention, the rate for grasping coronary heart disease knowledge and medication compliance were improved obviously (both P<0. 05). The unhealthy lifestyle was significantly improved (P<0. 05). Blood lipids, blood pressure, blood glucose, body mass index and other indicators on admission were significant-ly improved (P<0. 05). Conclusions: The “Multidisciplinary-community-family” secondary prevention model of coronary heart dis-ease can effectively control the disease risk factors, so as to reduce the occurrence of the cardiovascular events and improve the quality of life of the patients.