临床路径健康教育模式对中青年冠心病出院患者遵医行为的影响

Effect of health education model based on clinical path on compliance behavior of the young and middle- aged discharged patients with CHD

目的:探讨临床路径健康教育模式对中青年冠心病(CHD)出院患者遵医行为的影响。方法:采用不完全随机对照研究方法将138例患者分为观察组68例和对照组70例,对照组行院内冠心病认知教育、出院前健康指导及出院后复查,观察组采用临床路径健康教育模式对中青年CHD患者进行护理干预,比较两组干预6个月再住院率、病死率及遵医行为。结果:干预6个月,观察组再住院率低于对照组(P<0.05),观察组遵医行为与对照组比较差异有统计学意义(P<0.05,P<0.01)。结论:临床路径健康教育模式可有效降低中青年CHD患者6个月内的再住院率,提升中青年患者的遵医行为。

Objective： To explore the effect of health education model based on clinical path on compliance behavior of the young and middle- aged discharged patients with coronary heart disease（ CHD）. Methods： 138 patients were divided into the observation group（ n =68） and the control group（ n = 70）. The cognitive education in hospital,health guidance before discharge and re- examination after discharge were implemented in the control group; the health education model based on clinical path was used to conduct nursing intervention in the observation group. The readmission rate,fatality rate and compliance behavior of the patients were compared between the two groups after 6 months of the intervention. Results： The readmission rate was lower in the observation group than that in the control group after 6months of the intervention（ P〈0. 05）; the difference in the comparison of compliance behavior of the patients was statistically significant between the two groups（ P〈0. 05,P〈0. 01）. Conclusion： Application of health education model based on clinical path can effectively reduce the readmission rate of young and middle- aged patients with CHD within 6 months and can improve the compliance behavior of the patients.