CAJ | 학술논문

目的：探讨健康教育对社区冠心病患者生活质量及治疗依从性的影响。方法：选择83例社区冠心病患者，随机分为常规治疗组（38例，接受冠心病常规治疗）和健康教育组（45例，在常规治疗基础上接受冠心病健康教育）。比较两组患者干预后西雅图心绞痛问卷调查（SAQ ）评分、治疗依从性及6个月内主要不良心血管事件（MACE ）发生率。结果：与常规治疗组比较，干预后健康教育组的SAQ各项评分和总分[（54.3±7.2）分比（65.4±7.5）分]均显著升高， P均＜0.05；治疗依从性也显著升高（优良率，52.6％比77.8％）， P＜0.05。随访6个月，健康教育组的MACE总发生率显著低于常规治疗组（8.9％比26.3％）， P＜0.05。结论：健康教育可显著提高社区冠心病患者生活质量及治疗依从性，改善预后，值得临床推广使用。
목적：탐토건강교육대사구관심병환자생활질량급치료의종성적영향。방법：선택83례사구관심병환자，수궤분위상규치료조（38례，접수관심병상규치료）화건강교육조（45례，재상규치료기출상접수관심병건강교육）。비교량조환자간예후서아도심교통문권조사（SAQ ）평분、치료의종성급6개월내주요불양심혈관사건（MACE ）발생솔。결과：여상규치료조비교，간예후건강교육조적SAQ각항평분화총분[（54.3±7.2）분비（65.4±7.5）분]균현저승고， P균＜0.05；치료의종성야현저승고（우량솔，52.6％비77.8％）， P＜0.05。수방6개월，건강교육조적MACE총발생솔현저저우상규치료조（8.9％비26.3％）， P＜0.05。결론：건강교육가현저제고사구관심병환자생활질량급치료의종성，개선예후，치득림상추엄사용。
Objective:To explore influence of health education on quality of life and compliance in community pa‐tients with coronary heart disease (CHD) .Methods :A total of 83 community CHD patients were selected and ran‐domly divided into routine treatment group (n=38 ,received routine treatment of CHD ) and health education group (n=45 ,received CHD health education based on routine treatment ) .Score of Seattle angina questionnaire (SAQ) after intervention ,therapeutic compliance and incidence rate of major adverse cardiovascular events (MACE) with‐in six months were compared between two groups .Results:Compared with routine treatment group after interven‐tion ,there were significant rise in each item score and total score of SAQ [total score ,(54.3 ± 7.2) scores vs .(65.4 ± 7.5) scores] ,P<0.05 all;and therapeutic compliance also significantly rose (good rate ,52.6% vs .77.8% ) in health education group , P< 0.05. After six‐month follow‐up ,total incidence rate of MACE in health education group was significantly lower than that of routine treatment group (8.9% vs .26.3% ) , P< 0.05. Conclusion:Health education can significantly improve quality of life ,compliance and prognosis in community patients with cor‐onary heart disease ,which is worth clinical extending and use .