针对性健康教育对社区冠心病患者自我管理及生活质量的影响

THE IMPACT OF TARGETED HEALTH EDUCATION ON SELF-MANAGEMENT AND LIFE QUALITY IN PATIENTS WITH CORONARY ARTERY DISEASE IN COMMUNITY

目的研究针对性健康教育对社区冠心病患者自我管理的影响,改善患者生活质量。方法将86例社区冠心病患者随机分为二组,每组43例,对照组实施常规健康教育,观察组实施针对性健康教育,实施3个月后采用慢性病自我管理问卷(CDSMQ)、WHO生存质量量表(QOL-BREE)评价患者自我管理能力及生活质量改善情况。结果观察组健康知识掌握率高于对照组(P<0.05);观察组生活、不良嗜好、急救、情绪认知、运动、饮食、服药管理等CDSMQ评分均高于对照组(P<0.05);观察组生理、心理、社会、总体健康等QOL-BREE评分均高于对照组(P<0.05)。结论针对性健康教育可提高冠心病患者健康知识掌握率,提高其自我管理能力,进而改善生活质量。

Objective To study the impact of targeted health education on self- management in patients with coronary heart disease in community, and to improve the quality of life of patients. Methods A total of 86 patients with coronary heart disease were randomly divided into two groups, 43 cases in each group, the control group received conventional health education, while the observation group received targeted health education, CDSMQ and QOL- BREE were used to eveluate the improvement of self - management skills and life quality after 3 months. Results The health knowledge rate of the observation group was higher than the control group（P〈0. 05）; life, bad habits, first aid, emotional, cognitive, exercise, diet, medication management of the observation group were higher（P〈0.05） ; physiological, psychological, social, health and other QOL-BREE overall scores of the observation group were also higher（P〈0.05）. Conclusion Targeted health education can improve health knowledge rate in patients with coronary heart disease, improve their self-management skills and quality of life.