同质医疗健康教育模式对冠心病病人PCI术后生活方式的影响

Effect of homogeneous medical health education model on life style of patients with coronary heart disease after PCI

目的:探讨同质医疗健康教育模式对冠心病吸烟病人经皮冠状动脉介入(PCI)术后预后与戒烟效果的影响。方法:纳入140例行PCI术治疗的冠心病吸烟病人,随机分为观察组和对照组,各70例,其中对照组采用常规护理方法干预,观察组采用同质医疗健康教育模式,对2组病人的戒烟效果、饮食达标率、体检指标(三酰甘油、低密度脂蛋白胆固醇)、运动达标率进行比较分析。结果:干预后,观察组戒烟率、运动达标率、饮食达标率均明显高于对照组(P<0.01);收缩压、总胆固醇、腹围、体质量指数、低密度脂蛋白胆固醇改善程度均优于对照组(P<0.05～P<0.01)。结论:PCI术后采用同质医疗健康教育模式有利于改变病人不良的生活习惯,提高戒烟率与病人的临床预后。

Objective:To investigate the effects of homogeneous medical health education model on clinical outcome and quitting smoking in patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods:A total of 140 CHD patients with smoking after PCI were randomly divided into the observation group(70 cases)and control group(70 cases).The control group was nursed with routine nursing intervention,and the observation group was nursed with homogeneous medical health education model.The quitting smoking effect,diet compliance rate,physical examination indexes[triglyceride(TG),low density lipoprotein cholesterol(LDL-C)and target rate of movement]were compared between two groups.Results:After intervention,the quitting smoking rate,target rate of quitting smoking and diet compliance rate in observation group were significantly higher than those in control group(P<0.01).The improvement of systolic blood pressure,TG,abdominal circumference,body mass index and LDL-C in observation group were better than those in control group(P<0.05 to P<0.01).Conclusions:Homogeneous medical health education model after PCI is helpful to improve the bad living habits,quitting smoking rate and clinical prognosis of patients.