CAJ | 학술논문

目的：探讨全程健康教育体系在冠脉支架术后患者中的应用效果。方法选择本科行冠脉支架术后患者720例随机分为观察组和对照组各360例，对照组按护理常规在患者入院时和出院前进行健康教育，观察组用健康教育体系在对照组基础上实施责任护士全程跟踪式健康教育，比较2组服药依从性、二级预防知识的掌握、相关疾病知识的掌握情况、护理满意度、再入院率及病死率。结果观察组服药依从性、冠心病二级预防知识、及相关疾病知识掌握、满意度等均优于对照组（P ＜0．05）；再入院率和病死率低于对照组（P ＜0．05）。结论对冠脉支架术后的患者实施全程健康教育体系管理可全面减少患者的危险因素、改善生活质量、提高术后康复率，强化有效服药的依从性，纠正患者的不良生活习惯，减少再入院率，提高了护理满意度，值得临床推广。
목적：탐토전정건강교육체계재관맥지가술후환자중적응용효과。방법선택본과행관맥지가술후환자720례수궤분위관찰조화대조조각360례，대조조안호리상규재환자입원시화출원전진행건강교육，관찰조용건강교육체계재대조조기출상실시책임호사전정근종식건강교육，비교2조복약의종성、이급예방지식적장악、상관질병지식적장악정황、호리만의도、재입원솔급병사솔。결과관찰조복약의종성、관심병이급예방지식、급상관질병지식장악、만의도등균우우대조조（P ＜0．05）；재입원솔화병사솔저우대조조（P ＜0．05）。결론대관맥지가술후적환자실시전정건강교육체계관리가전면감소환자적위험인소、개선생활질량、제고술후강복솔，강화유효복약적의종성，규정환자적불량생활습관，감소재입원솔，제고료호리만의도，치득림상추엄。
ABSTRACT:Objective To investigate the effects of the holistic health education system in patients after coronary stent.Methods A total of 720 patients after coronary stent were randomly divided into observation group with 360 cases and control group with 360 cases,the control group was conducted health education at admission and discharge,observation group were carried out whole-course tracking health education based on the control group.Drug therapy compliance, master of secondary prevention knowledge,mastering related diseases,nursing satisfaction,read-mission rates and mortality were compared between the two groups.Results Drug therapy com-pliance,master of secondary prevention knowledge,mastering related diseases,nursing satisfaction in the observation group were better than that in the control group(P <0.05);Readmission rates and mortality were lower than that in the control group (P <0.05).Conclusion Implementation of holistic health education system management in the patients after coronary stent can reduce pa-tient′s risk factors,improve the quality of life,increase the rate of postoperative rehabilitation, strengthen effective drug therapy compliance,correct patient′s bad living habits,reduce readmis-sion rates,and improve nursing satisfaction,so it is worthy of clinical promotion.