综合性管理在中青年冠心病患者自我管理中的应用研究

Application of comprehensive management in self-management of young and middle-aged patients with coronary heart disease

目的探讨综合性管理在中青年冠心病患者自我管理中的应用效果。方法选择2016年6月—2017年6月在我院心血管病科住院的中青年冠心病患者80例,随机分为观察组和对照组各40例。对照组患者实施常规冠心病健康教育、出院指导,观察组在对照组的基础上针对患者在自我管理中遇到的问题采用问卷调查、个体化教育、电话随访、建立冠心病自我管理微信群、定期开展冠心病知识讲座等综合管理措施。干预后3个月、6个月监测患者的自我管理能力、护理满意度。结果干预后观察组患者自我管理行为总分及护理满意度明显高于对照组(P<0.05)。结论综合性管理能帮助中青年冠心病患者提高自我管理能力及生活质量。

Objective To explore the effect of comprehensive management on self-management in young and middle-aged patients with coronary heart disease. Methods 80 patients with coronary heart disease in our hospital were enrolled from 2016 to December 06,—2017,06.After admission,they were randomly divided into the observation group and the control group. Patients in the control group received routine coronary heart disease health education and discharge guidance. The observation group in the control group for patients encountered in self management problems in the questionnaire survey,individual education,telephone follow-up,self management,We Chat group established coronary heart disease coronary heart disease regularly carry out lectures given targeted interventions. The self-management ability and nursing satisfaction of the patients were monitored at 3 and 6 months after the intervention.Results The total score of self-management behavior and nursing satisfaction of patients in the observation group after intervention were significantly higher than those in the control group（P0.05）. Conclusion Comprehensive management can help middle-aged and young patients with coronary heart disease improve self-management ability,improve and improve the quality of life.