知信行模式联合同质健康教育模式对冠心病合并心力衰竭患者临床疗效的影响

Clinical effects of KAP model combined with homogeneity health education on patients with coronary heart disease complicated with heart failure

目的探究知信行模式(knowledge attitude practice,KAP)联合同质健康教育模式对冠心病合并心力衰竭患者临床疗效的影响。方法选取2014年6月至2017年6月在绵阳市中医医院内三科确诊为冠心病合并心力衰竭的患者126例,按随机数字表法分为观察组和对照组,每组63例。对照组给予常规护理,观察组在对照组基础上给予KAP模式联合同质健康教育模式护理。结果治疗后观察组有效率(85. 71%)较对照组(58. 73%)明显提高,差异有统计学意义(P <0. 05)。治疗后观察组凝血指标改善程度较对照组明显增高,差异有统计学意义(P <0. 05)。观察组生活质量评分较对照组明显增高,差异有统计学意义(P <0. 05)。结论 KAP模式联合同质健康教育模式应用于冠心病合并心力衰竭患者后,改善了患者凝血指标,提高了患者生活质量水平。

Objective To investigate the clinical effects of KAP model combined with homogeneity health education in the patients with coronary heart disease complicated with heart failure.Methods One hundred and twenty-six patients,who were diagnosed as coronary heart disease complicated with heart failure from June 2014 to June 2017,were enrolled as the study subjects,and were randomly divided into the observation group and the control group,each consisting of 63 patients.The control group was given routine nursing care,while the observation group received homogeneity health education and the KAP model nursing,in addition to the care received by the control group.Results After treatment,the effective rate of the observation group was 85.71%,which was significantly higher than that of the control group (58.73%),and statistical significance could be seen when comparisons were made between them (P <0.05).Following treatment,the rate of improvement in coagulation index for the observation group was obviously higher than that of the control group,with statistical significance (P >0.05).The scores of life quality for the observation group were obviously higher than those for the control group,also with statistical significance (P >0.05).Conclusion In the treatment of the patients with coronary heart disease complicated with heart failure,KAP model combined with homogeneity health education could improve patient coagulation indexes and enhance their life quality.