CAJ | 학술논문

目的：分析社区健康教育对控制冠心病患者血脂水平的作用。方法选取2010年4月至2014年12月在我中心治疗的200例冠心病患者为研究对象，采用随机数字表法分为教育组和对照组各100例，对照组行常规诊疗，教育组在此基础上开展面对面社区健康教育，干预后半年监测并比较两组患者干预前后总胆固醇(TC)、三酰甘油( TG)、低密度脂蛋白( LDL-C)、高密度脂蛋白(HDL-C)、健康调查简表(SF-36)中文版评分及自我管理行为量表评分( CSMS)差异。结果干预后，教育组患者 TC、TG、LDL-C 水平均明显低于干预前(均为 P ＜0.05)，且明显低于对照组(均为 P ＜0.05)；HDL-C 水平均明显高于干预前(均为 P ＜0.05)，且明显高于对照组(均为 P ＜0.05)。干预后，教育组患者 SF-36量表生理功能、生理职能、躯体疼痛、总体健康、精力、社会功能、情感职能、精神健康评分均明显高于干预前(均为 P ＜0.05)，且明显高于对照组(均为 P ＜0.05)。干预后，教育组患者CSMS 量表不良嗜好管理、症状管理、情绪认知管理、急救管理、疾病知识管理、一般生活管理、治疗依从性管理能力均明显高于干预前(均为 P ＜0.05)，且明显高于对照组(均为 P ＜0.05)。结论社区健康教育可帮助冠心病患者控制血脂水平，改善生活质量，提升患者自我管理能力。
목적：분석사구건강교육대공제관심병환자혈지수평적작용。방법선취2010년4월지2014년12월재아중심치료적200례관심병환자위연구대상，채용수궤수자표법분위교육조화대조조각100례，대조조행상규진료，교육조재차기출상개전면대면사구건강교육，간예후반년감측병비교량조환자간예전후총담고순(TC)、삼선감유( TG)、저밀도지단백( LDL-C)、고밀도지단백(HDL-C)、건강조사간표(SF-36)중문판평분급자아관리행위량표평분( CSMS)차이。결과간예후，교육조환자 TC、TG、LDL-C 수평균명현저우간예전(균위 P ＜0.05)，차명현저우대조조(균위 P ＜0.05)；HDL-C 수평균명현고우간예전(균위 P ＜0.05)，차명현고우대조조(균위 P ＜0.05)。간예후，교육조환자 SF-36량표생리공능、생리직능、구체동통、총체건강、정력、사회공능、정감직능、정신건강평분균명현고우간예전(균위 P ＜0.05)，차명현고우대조조(균위 P ＜0.05)。간예후，교육조환자CSMS 량표불량기호관리、증상관리、정서인지관리、급구관리、질병지식관리、일반생활관리、치료의종성관리능력균명현고우간예전(균위 P ＜0.05)，차명현고우대조조(균위 P ＜0.05)。결론사구건강교육가방조관심병환자공제혈지수평，개선생활질량，제승환자자아관리능력。
Objective To analyze the role of community health education on controlling blood lipid levels in patients with coronary artery disease. Methods From April 2010 to December 2014, 200 patients with coronary heart disease in our hospital were selected and randomly divided into observation group and control group with 100 cases in each group. The control group received routine nursing care, while the observation group received community health education on the basis of routine nursing care. The differences of TC,TG,LDL-C and score of SF-36 and CSMS before and half a year after intervention were monitored and compared. Results After the intervention, the TC, TG, LDL-C levels of patients in observation group were significantly lower than those before intervention (all P < 0. 05), and also significantly lower than those in control group (all P < 0. 05). The HDL-C levels of patients in observation group were significantly higher than those before intervention (all P < 0. 05), and significantly higher than those in control group (all P <0. 05). After the intervention, the score of physiological function, physiological intelligence, bodily pain, general health, energy, social function, emotional function, mental health of SF-36 scale of patients in the observation group were significantly higher than those before intervention (all P < 0. 05), and significantly higher than in control group ( all P < 0. 05 ) . After the intervention, the CSMS scale including the capabilities of bad hobby management, symptom management, emotional management, emergency management, cognitive knowledge of disease management and life management, treatment compliance management in the observation group were significantly higher than those before intervention (all P < 0. 05), and significantly higher than those in control group ( all P < 0. 05) . Conclusions Community health education can help control blood lipid levels, improve quality of life, and enhance self-management skills in patients with coronary heart disease.