基于JCI标准的四维度创新模型对老年冠心病患者进行健康教育的应用效果

Effect of 4-dimensional innovative model basing on JCI standards on health education to elderly patients with CHD

目的：探究基于JCI标准应用四维度创新模型对老年冠心病患者进行健康教育的实施路径与临床效果。方法遵循JCI标准，通过创新老年冠心病患者健康教育理念、健康教育平台、健康教育传递系统以及健康教育技术应用四维度创新模型。将120例老年冠心病患者随机分为观察组与对照组，观察组采用基于JCI标准的四维度创新模型进行健康教育，对照组采用常规冠心病健康教育路径，即发放健康手册，解说饮食、药物、活动、随访等知识。干预后5d评价和比较观察组与对照组患者冠心病机体功能状态、生活质量的差异；出院后6个月评价自我管理能力等指标的差异。结果观察组与对照组在SAQ评分中，观察组在活动受限程度、心绞痛发作情况、心绞痛稳定、治疗满意程度和疾病认知状态程度中评分均高于对照组，差异具有统计学意义（ P〈0.05）。结论基于JCI标准应用四维度创新模型对老年冠心病患者实施健康教育对保障医疗安全、预防不良心脏事件的发生、提高治疗依从性、增强患者自我管理能力、提高患者满意度具有重要的促进作用。

Objective To investigate implementing approach and clinical effect of 4-dimensional innovative model basing on JCI standards on health education to elderly patients with CHD.Methods Following JCI standards, a 4-dimensional model was innovated, regarding 4 aspects of health education for elderly patients with CHD：concept, platform, transmission system and technological application. Totals of 120 elderly patients with CHD were divided randomly into observation group and control group. For the patients in the observation group, health education was conducted according to the 4-dimentional innovative model, while in the control group, routine health education approach for CHD was used, which was to hand out health pamphlets explaining knowledge concerning diet, drug, exercise, follow-up visit, etc. After 5 days of intervention, CHD organism functional status and quality of life of the CHD patients in the two groups were evaluated and compared. Indexes, such as self-management skills, were compared 6 months after discharge. Results In SAQ scoring, there were significant differences between observation group and control group regarding limitation degree of motion, attacking condition of angina or stable condition of angina, scores of satisfaction on treatment and awareness of the disease （ P〈0. 05 ） . Conclusions Conducting health education to elderly patients with CHD with the 4-dimensional innovative model basing on JCI standards plays a significant role in promoting guarantee of medical safety, prevention of harmful cardiac incidents, and enhancement of treatment compliance, patients′ self-management abilities and patients′satisfaction.