中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
30期
3624-3627
,共4页
血脂异常%日记%知识-态度-行为%心血管事件
血脂異常%日記%知識-態度-行為%心血管事件
혈지이상%일기%지식-태도-행위%심혈관사건
Lipids disorder%Diary%Knowledge-attitude-behavior%Cardiovascular events
目的 探讨血脂监测日记对改善心血管内科高血脂患者血脂知识、态度、行为的作用及再发心血管事件的影响.方法 将40岁以上血脂异常患者156例,采用抛硬币法随机分为两组,对照组76例,观察组80例.入院时在护士为两组患者做健康宣教前由患者填写血脂知识-态度-行为问卷,住院过程中两组患者接受相同的健康教育,出院后对照组按常规给予电话随访及院外宣教,观察组使用血脂监测日记,两组患者均接受1季度1次的电话随访及院外宣教.1年后再次让两组患者填写血脂知识-态度-行为问卷,询问患者1年内再发心血管事件的情况.结果 干预后观察组患者的血脂知识得分(27.84±5.40)分及行为得分(12.33 ±2.17)分分别高于对照组的[(22.83±5.61),(7.76±1.81)分],差异有统计学意义(t值分别为-5.68,-14.29;P ＜0.05)；观察组及对照组患者的态度得分分别为(7.44±1.23),(7.25±1.23)分,差异无统计学意义(t＝-0.95,P＞0.05).再发心血管事件方面,观察组患者心肌梗死(5.0％)及心绞痛发生率(25.0％)分别低于对照组(11.8％,43.4％),差异有统计学意义(x2值分别为14.61,5.9;P＜0.05),观察组及对照组患者心力衰竭发生率分别为3.8％及7.9％,差异无统计学意义(x2 ＝1.23,P＞0.05).两组患者均未发生心源性猝死、心源性休克、恶性心律失常及卒中.结论 血脂监测日记对改善心血管内科高血脂患者血脂知识、态度、行为水平起到了一定的作用,同时在降低心肌梗死与心绞痛再发生率方面有积极的作用.
目的 探討血脂鑑測日記對改善心血管內科高血脂患者血脂知識、態度、行為的作用及再髮心血管事件的影響.方法 將40歲以上血脂異常患者156例,採用拋硬幣法隨機分為兩組,對照組76例,觀察組80例.入院時在護士為兩組患者做健康宣教前由患者填寫血脂知識-態度-行為問捲,住院過程中兩組患者接受相同的健康教育,齣院後對照組按常規給予電話隨訪及院外宣教,觀察組使用血脂鑑測日記,兩組患者均接受1季度1次的電話隨訪及院外宣教.1年後再次讓兩組患者填寫血脂知識-態度-行為問捲,詢問患者1年內再髮心血管事件的情況.結果 榦預後觀察組患者的血脂知識得分(27.84±5.40)分及行為得分(12.33 ±2.17)分分彆高于對照組的[(22.83±5.61),(7.76±1.81)分],差異有統計學意義(t值分彆為-5.68,-14.29;P ＜0.05)；觀察組及對照組患者的態度得分分彆為(7.44±1.23),(7.25±1.23)分,差異無統計學意義(t＝-0.95,P＞0.05).再髮心血管事件方麵,觀察組患者心肌梗死(5.0％)及心絞痛髮生率(25.0％)分彆低于對照組(11.8％,43.4％),差異有統計學意義(x2值分彆為14.61,5.9;P＜0.05),觀察組及對照組患者心力衰竭髮生率分彆為3.8％及7.9％,差異無統計學意義(x2 ＝1.23,P＞0.05).兩組患者均未髮生心源性猝死、心源性休剋、噁性心律失常及卒中.結論 血脂鑑測日記對改善心血管內科高血脂患者血脂知識、態度、行為水平起到瞭一定的作用,同時在降低心肌梗死與心絞痛再髮生率方麵有積極的作用.
목적 탐토혈지감측일기대개선심혈관내과고혈지환자혈지지식、태도、행위적작용급재발심혈관사건적영향.방법 장40세이상혈지이상환자156례,채용포경폐법수궤분위량조,대조조76례,관찰조80례.입원시재호사위량조환자주건강선교전유환자전사혈지지식-태도-행위문권,주원과정중량조환자접수상동적건강교육,출원후대조조안상규급여전화수방급원외선교,관찰조사용혈지감측일기,량조환자균접수1계도1차적전화수방급원외선교.1년후재차양량조환자전사혈지지식-태도-행위문권,순문환자1년내재발심혈관사건적정황.결과 간예후관찰조환자적혈지지식득분(27.84±5.40)분급행위득분(12.33 ±2.17)분분별고우대조조적[(22.83±5.61),(7.76±1.81)분],차이유통계학의의(t치분별위-5.68,-14.29;P ＜0.05)；관찰조급대조조환자적태도득분분별위(7.44±1.23),(7.25±1.23)분,차이무통계학의의(t＝-0.95,P＞0.05).재발심혈관사건방면,관찰조환자심기경사(5.0％)급심교통발생솔(25.0％)분별저우대조조(11.8％,43.4％),차이유통계학의의(x2치분별위14.61,5.9;P＜0.05),관찰조급대조조환자심력쇠갈발생솔분별위3.8％급7.9％,차이무통계학의의(x2 ＝1.23,P＞0.05).량조환자균미발생심원성졸사、심원성휴극、악성심률실상급졸중.결론 혈지감측일기대개선심혈관내과고혈지환자혈지지식、태도、행위수평기도료일정적작용,동시재강저심기경사여심교통재발생솔방면유적겁적작용.
Objective To explore the effects of serum lipids monitoring diary on KAP (knowledge-attitude-behavior) levels and the recurrence of cardiovascular events of patients with hyperlipidemia.Methods 156 cases of hyperlipidemia patients over the age of 40 were randomly divided into two groups:the control group (n ＝ 76)and the experimental group (n ＝ 80).Questionnaires were used to investigate the KAP levels on serum lipids among all the patients before health education,which were provided to both groups during hospitalization.The control group only received conventional health education and telephone follow-up once a quarter after discharged,while the experimental group used the serum lipids monitoring diary in addition.Questionnaires were used again a year later to investigate their KAP levels and the recurrence of cardiovascular events was also compared between two groups.Results After experiment,lipidemia related knowledge score and behavior score in the experiment group [(27.84 ± 5.40) and (12.33 ± 2.17)] were higher than those [(22.83 ± 5.61) and (7.76 ± 1.81)] in the control group (t ＝-5.68,-14.29,respectively; P ＜ 0.05),and no difference of attitude score was found in two groups [(7.44 ± 1.23) and (7.25 ± 1.23)] (t ＝-0.95,P ＞ 0.05).The incidence rate of myocardial infarction (5.0％) and angina (25.0％) in the experiment group were lower than those [(11.8％) and (43.4％)] in the control group (x2 ＝ 14.61,5.9,respectively ; P ＜ 0.05),and no difference of the incidence of heart failure was found in two groups (3.8％ and 7.9％) (x2 ＝ 1.23,P ＞ 0.05).There were no incidence of cardiac sudden death,cardiac shock,malignant arrhythmia and stroke in both groups.Conclusions Serum lipids monitoring diary can play a beneficial role on improving the knowledge-attitude-behavior level and reducing recurrence of cardiac infarction and angina among patients with hyperlipidemia in the meantime.
