行为干预对预防冠心病的护理研究

Behavioral intervention on prevention of coronary heart disease in nursing research

目的通过对冠心病患者不良行为进行干预，探讨对冠心病的预防效果。方法随机选取住院患者120例，住院时和出院后1年内每次复诊对患者的行为方式、遵医行为进行教育，每季度进行1次调查问卷，观察干预前后的情况。结果行为干预后，患者情绪控制力、不合理饮食、吸烟、生活规律、体育锻炼的不良行为下降，遵医行为上升，患者高血脂、高血糖、高血压和心绞痛等症状明显下降，复发次数明显减少，间隔时间明显延长。结论行为干预可促进患者建立健康的行为方式，有效地改善冠心病病人的不遵医行为，有利于冠心病的预防和延缓发展。

Objective To examine the preventive effect on coronary heart disease through the intervention of bad behavior in patients with coronary heart disease. Methods A total of 120 eases were randomly selected, their bad behavior were intervene in the hospital and further consultation with a doctor within one year, to conduct a quarterly survey to observe the situation before and after intervention. Results The patients＇bad behavior decreased after the behavioral interventions, including emotional control, irrational diet, smoking, patterns of life, physical activity etc, and the treatment compliance was increased. The patients＇symptoms with high blood cholesterol, high blood sugar, high blood pressure and angina were decreased significantly, the recrudescence significantly was decreased, tile recurrence in- terval time was prolonged. Conclusions Patients with behavioral intervention can promote the establishment of a healthy behavior, in improve the non - compliance behaviors of coronary heart disease patients effectively and conducive to the prevention and delay the development of coronary heart disease.