健康促进对改善急性心肌梗死合并糖尿病患者预后的效果观察

Clinical study of health promotion on the prognosis of patients with acute myocardial infarction combined with diabetes

目的探讨健康促进对改善急性心肌梗死（AMI）合并糖尿病患者预后的效果。方法选择104例确诊为AMI合并糖尿病的患者，随机分为对照组和实验组各52例。住院期间2组均接受相同的治疗用药及临床护理，均给予程序化常规宣教。而实验组出院后继续实施健康促进，并进行为期6个月的随访。出院6个月后，比较2组患者的空腹血糖、餐后血糖、三酰甘油、总胆固醇、诊疗费用、认知态度及行为水平等方面的差异。结果6个月后2组在空腹血糖、餐后血糖、三酰甘油、总胆固醇、诊疗费用、认知态度及行为水平等方面比较差异有统计学意义，P〈0．05。2组再入院率、病死率比较差异无统计学意义（P〉0.05）。结论健康促进可显著改善AMI合并糖尿病患者主要临床指标，减少治疗费用，提高患者的生存质量。

Objective To study on the effect of health promotion on the prognosis of patients with acute myocardial infarction （AMI） combined with diabetes. Methods 104 patients of AMI complicated with diabetes were randomly divided into the control and the experimental groups with 52 cases in each group. Two groups were conferred fixed medicine and other clinical interventions as well as programmed education during their hospitalization. After discharge, the experimental group continued to implement health promotion for six months＇ follow-up. After six months, the fasting blood glucose, postprandial blood glucose, triglyceride,cholesteml, clinic cost,level of knowledge and behavior were compared between the two groups after six months. Resuits after six months, there was significant difference between two groups in blood glucose,postprandial blood glucose, triglyceride,cholesteml, clinic cost,level of knowledge and behavior （P 〈 0.05）. Rate of readmission and mortality rate were not statistically different （P 〉 0.05）. Conclusions Health promotion can improve capital clinical index of the patients, decrease the cost and promote the life quality of patients.