康复路径教育在冠心病介入治疗患者心脏康复中的临床效果观察

Observation on clinical effect of rehabilitation pathway education on cardiac rehabilitation in coronary heart disease patients with interventional therapy

目的讨论康复路径教育在冠心病介入治疗患者心脏康复中的疗效。方法 70例冠心病患者,随机分为观察组和对照组,每组35例。两组患者均予介入治疗、药物治疗结合的方式,对照组予常规教育,观察组在对照组的基础上予康复路径教育。术后随访1年,观察两组患者冠心病康复知识、自我管理、自我效能以及危险因素控制情况。结果干预前,两组患者的康复知识、自我管理、自我效能、血压达标率、吸烟率及LDL-C水平比较差异无统计学意义(P>0.05)。干预后,两组患者的康复知识、自我管理、自我效能、血压达标率、吸烟率及LDL-C水平均明显高于干预前,差异具有统计学意义(P<0.05)。干预后,观察组患者的康复知识(81.69±6.93)分、自我管理(110.52±16.78)分、自我效能(31.98±6.59)分、吸烟率8.57%、血压达标率88.57%及LDL-C(2.03±1.15)mmol/L均明显优于对照组的(74.49±5.89)分、(90.74±21.56)分、(26.41±7.58)分、28.57%、60.00%、(2.71±1.59)mmol/L,差异具有统计学意义(P<0.05)。结论冠心病介入术后予康复路径教育可以提高患者的冠心病康复知识、自我管理、自我效能管理、危险因素控制情况,在临床上可广泛使用。

Objective To discuss the efficacy of rehabilitation pathway education on cardiac rehabilitation in coronary heart disease patients with interventional therapy. Methods A total of 70 coronary heart disease patients were randomly divided into observation group and control group, with 35 cases in each group. Both groups received interventional therapy and drug treatment, and the control group received conventional education. The observation group received rehabilitation pathway education on the basis of the control group. After 1 years of follow-up, the rehabilitation knowledge of coronary heart disease, self-management, self-efficacy and control of risk factors were observed in the two groups. Results Before intervention, both groups had no statistically significant difference in rehabilitation knowledge, self-management, self-efficacy and control Of risk factors （P〉0.05）. After intervention, both groups had obviously higher rehabilitation knowledge, self-management, self-efficacy, blood pressure standard rate, smoking rate and low density lipoprotein cholesterol （LDL-C） level than before intervention, and their difference was statistically significant （P〈0.05）. After intervention, the observation group had rehabilitation knowledge as （81.69 ± 6.93） points, self-management as （110.52 ± 16.78） points, self-efficacy as （31.98 ±6.59） points, smoking rate as 8.57%, blood pressure standard rate as 88.57% and LDL-C as （2.03± 1.15） mmol/L, which were all obviously better than （74.49 ±5.89） points, （90.74 ±21.56） points, （26.41 ± 7.58） points, 28.57%, 60.00% and （2.71 ± 1.59） mmol/L in the control group, and their difference was statistically significant （P〈0.05）. Conclusion Rehabilitation education after coronary artery intervention can improve rehabilitation knowledge, serf-management, serf-efficacy management and control of risk factors of coronary heart disease patients, and it can be widely used in clinic.