以家庭为中心的健康教育预防冠状动脉粥样硬化斑块老年患者远期心血管事件发生的作用分析

Analysis on the effect of family-centered healthy education on preventing long-term cardiovascular events in elderly patients with coronary atherosclerotic plaque

目的探讨以家庭为中心的健康教育预防冠状动脉粥样硬化斑块老年患者远期心血管事件发生的作用。方法选取2015年9月～2017年9月深圳市龙华区中心医院收治120例冠状动脉粥样硬化斑块老年患者,按单盲随机原则分为观察组(n=70)和对照组(n=50)。对照组给予常规健康教育干预,观察组在此基础上给予以家庭为中心的健康教育。结果干预后,观察组健康知识、态度和行为得分均显著高对照组,差异有统计学意义(P <0.05);干预后,观察组ICVD、Framingham评分均显著低于对照组,差异有统计学意义(P <0.05)。结论以家庭为中心的健康教育是一种促进健康知识、态度和行为改变的有效方法,从逆转冠状动脉粥样硬化斑块老年患者危险因素方面,预防远期心血管事件发生。

Objective To explore the effect of family-centered healthy education on preventing long-term cardiovascular events in elderly patients with coronary atherosclerotic plaque.Methods One hundred and twenty elderly patients with coronary atherosclerotic plaque who were admitted and treated in Longhua District Central Hospital of Shenzhen from September 2015 to September 2017 were selected and they were divided into the observation group(n=70)and the control group(n=50)according to single blind random principle.The control group was given routine health education intervention while the observation group was given family-centered healthy education based on the control group.Scores of health questionnaire,ICVD and Framingham at baseline and after intervention of two groups were observed.Results Differences in health knowledge,attitude,behavior scores at baseline in two groups had no statistical significance(P>0.05).Differences in ICVD and Framingham scores at baseline in two groups had no statistical significance(P>0.05).After intervention,health knowledge,attitude,behavior scores of the observation group were significantly higher than those of the control group and the differences were statistically significant(P<0.05).After intervention,ICVD and Framingham scores of the observation group were significantly lower than those of the control group and the differences were statistically significant(P<0.05).Conclusion Family-centered healthy education is an effective way to promote changes in health knowledge,attitude and behavior.It can prevent long-term cardiovascular events from reversing the risk factors of coronary atherosclerotic plaque in elderly patients.