冠心病群组管理的实施效果观察

Effects of group intervention on patients with coronary heart disease

目的探讨群组管理对冠心病（ CHD）患者进行干预的临床应用效果。方法选取118例CHD患者，随机分为对照组和试验组，对照组58例，试验组60例。对照组采用常规护理，试验组在对照组的基础上采用群组管理干预，观察两组患者疾病相关知识的掌握及治疗的依从性，检测血脂水平的变化，并用焦虑自评量表（ SAS）对两组患者进行评估。结果试验组实施干预后，疾病知识及危险因素的掌握好于对照组，差异具有统计学意义（P〈0.05），而自救知识掌握情况两组比较差异无统计学意义（P〉0.05）；试验组的治疗依从性及血脂水平的改善好于对照组；试验组SAS评分降低优于对照组，差异均具有统计学意义（ P〈0.01）。结论群组管理能有效提高CHD患者对疾病相关知识的掌握及治疗的依从性，减轻患者的焦虑情绪，提高治疗效果。

Objective To explore the effects of group intervention on patients with coronary heart disease （ CHD） . Methods 118 cases were randomly divided into control and experimental groups, 58 cases in control group and 60 cases in experimental group. The patients in control group received routine nursing care, in experimental group were based on the use of group intervention for nursing intervention. The degree of grasping relative knowledge of CHD and treating compliance in the two group were contrasted, their blood fat was detected and the anxiety of patients before and after examination was assessed by using self-rating anxiety scale （ SAS） . Results After intervention, the degree of grasping knowledge of CHD and risk factors were superior to the control group （ P〈0. 05 ） , there was no difference between the 2 groups in grasping knowledge of self-care （ P〉0. 05 ） . The treating compliance and improvement of index of blood fat in experimental group were superior to those of control group （ P〈0. 01 ） . The score of SAS after intervention in experimental group was much lower than that of control group （ P〈0. 01 ） . Conclusions Group intervention could improve the ability to grasp relative knowledge of CHD and treatment compliance, help to improve the patient＆#39;s anxiety and enhance the treatment effect.