短信教育在冠心病患者中的应用

Application of short message education on patients with coronary heart disease

目的探讨短信教育对冠心病（CHD）患者进行干预的临床效果。方法选取56例CHD患者，按随机数字表法随机分为对照组和实验组，各28例。对照组采用常规护理，实验组在对照组的基础上加用短信提醒，观察两组患者疾病相关知识的掌握、服药的依从性及生活方式的改变情况。结果干预前两组患者服药依从性、疾病相关知识掌握情况及生活方式情况比较差异均无统计学意义（P〉0．05）；干预后实验组服药依从得分为（4．55±0．48）分，低于干预前得分（6．25±0．56）分，也低于对照组得分（5．85±0．43）分，差异均有统计学意义（t值分别为12．196，12．266；P〈0．01）；对照组服药依从性干预前后比较差异有统计学意义（t=5．032，P〈0．01）；实验组干预后疾病相关知识的掌握优于对照组，差异有统计学意义（X2值分别为4．77，4．91，5．54；P〈0．05）；生活方式改善优于对照组，差异均有统计学意义（x2值分别为6．79，14．67，4．67，4．98；P〈0．05）。结论短信教育能有效地提高CHD患者服药的依从性及对疾病相关知识的掌握，改变患者的生活方式。

Objective To discuss clinical effect of short message education on patients with coronary heart disease （CHD）. Methods 56 patients with CHD were randomly divided into the control group and the experimental group, each with 28 cases. The control group received conventional nursing while the experimental group received short message education in addition. The degree of relative knowledge of CHD, medicine compliance and changes of lifestyle were observed and compared between two groups. Results There was no statistically significant difference in degree of relative knowledge of CHD, medicine compliance and changes of lifestyle between two groups before intervention （ P 〉 0.05 ）. The score of medicine compliance was （4.55±0.48） in the experimental group after intervention, lower than （6.25±0.56） before intervention, as well as lower than （5.85±0.43 ） in the control group, and the differences were statistically significant （t = 12. 196, 12.266, respectively; P 〈0.01 ）. Medicine compliance was also significantly different in the control group between before and after intervention （ t = 5. 032,P 〈 0.01 ）. The degree of relative knowledge of CHD in better in the experimental group than in the control group, and the difference was statistically significant （X2 = 4.77, 4.91, 5.54, respectively; P 〈 0.05）. Changes of lifestyle was also better in the experimental group than in the control group, and the difference was statistically significant （ X^2 = 6.79, 14.67, 4.67, 4.98, respectively; P 〈 0.05）. Conclusions Short message education can effectively improve medicine compliance and relative knowledge of CHD in patients with CHD and help changing their lifestyle.