健康教育对冠心病心绞痛患者生存质量的影响

A study on education to impact the quality of life for the patients of coronary artery disease

目的:探讨健康教育对冠心病患者生存质量的影响。方法:将180例冠心病心绞痛患者随机分为两组,对实验组患者实施规范的健康宣教,然后应用中文版SF-36健康调查量表测评患者的生存质量,采用自身对照与组间对照,并于出院后1个月进行调查。结果:实验组生存质量改善最明显,各维度的积分提高差异均有显著性意义(P<0.01);与对照组比较六个维度差异有显著性意义(P<0.05或P<0.01);1个月后实验组各维度得分接近正常人的生存质量,而对照组改变不明显。两组患者起病前一年经历的负性生活事件数明显增多。结论:规范化的健康教育有益于预防疾病的发生与发展,有助于提高冠心病患者的生存质量。

Objective： To analyse the educational affects on the quality of life （QOL） for the patients with coronary artery disease（CAD）. Method：180 patients were divided into 2 groups. The experimental group had regular educations. The controll group had not regular educations. The QOL was assessed by 36-item short-form health survey （SF-36, Chinese version）. The patients were followed up after 1 month by use of self-control and group-control. Result：QOL of experimental group was improved significantly. The evaluations of QOL by SF-36 showed better scores than control group for the every domains （P〈0.05-0.01）.After 1 month, their scores were increased and closed to normal. Conclusion：Regular education program may improve the QOL of CAD. It is beneficial for preven- tion of CAD.