社区健康教育对冠心病患者生活质量及治疗依从性的影响

Influence of community health education on quality of life and compliance in patients with coronary heart disease

目的:探讨健康教育对社区冠心病患者生活质量及治疗依从性的影响。方法:选择83例社区冠心病患者,随机分为常规治疗组(38例,接受冠心病常规治疗)和健康教育组(45例,在常规治疗基础上接受冠心病健康教育)。比较两组患者干预后西雅图心绞痛问卷调查(SAQ)评分、治疗依从性及6个月内主要不良心血管事件(MACE)发生率。结果:与常规治疗组比较,干预后健康教育组的SAQ各项评分和总分[(54.3±7.2)分比(65.4±7.5)分]均显著升高,P均<0.05;治疗依从性也显著升高(优良率,52.6%比77.8%),P<0.05。随访6个月,健康教育组的MACE总发生率显著低于常规治疗组(8.9%比26.3%),P<0.05。结论:健康教育可显著提高社区冠心病患者生活质量及治疗依从性,改善预后,值得临床推广使用。

Objective： To explore influence of health education on quality of life and compliance in community pa- tients with coronary heart disease （CHD）. Methods： A total of 83 community CHD patients were selected and randomly divided into routine treatment group （n = 38, received routine treatment of CHD） and health education group （n = 45, received CHD health education based on routine treatment）. Score of Seattle angina questionnaire （SAQ） after intervention, therapeutic compliance and incidence rate of major adverse cardiovascular events （MACE） with- in six months were compared between two groups. Results： Compared with routine treatment group after intervention, there were significant rise in each item score and total score of SAQ [total score, （54.3 ± 7. 2） scores vs. （65.4±7. 5） scores], P〈0.05 all; and therapeutic compliance also significantly rose （good rate, 52. 6% vs. 77. 8%） in health education group, P〈0. 05. After six-month follow-up, total incidence rate of MACE in health education group was significantly lower than that of routine treatment group （8. 9% vs. 26.3%）, P〈0.05. Conclusion： Health education can significantly improve quality of life, compliance and prognosis in community patients with coronary heart disease, which is worth clinical extending and use.