心脏康复教育在冠心病患者心脏康复中的应用

Application of cardiac rehabilitation education in cardiac rehabilitation of patients with coronary heart disease

目的探讨基于临床护理路径的心脏康复教育对于冠心病患者心脏康复过程的效果。方法200例冠心病患者分为研究组和对照组各100例;对照组给予常规健康教育,研究组按照心脏康复的临床护理路径标准提供心脏康复教育。评估并比较研究组与对照组干预前后中国心血管患者生活质量量表评分、自我效能评分以及冠心病相关危险因素的控制情况。结果干预后,两组患者的中国心血管患者生活质量量表、自我效能评分较前升高,且研究组更加显著;差异有统计学意义(P<0.05)。干预后,两组患者的吸烟率、LDL-C、HbAlc和BMI均下降,血压达标率上升,且研究组更加显著;差异有统计学意义(P<0.05)。结论康复临床护理路径可以提高冠心病患者心脏康复的效果,具体表现为生活质量和自我效能的提高,以及相关高危因素的控制。

Objective To evaluate the efficacy of a cardiac rehabilitation education model based on clinical nursing pathway in improving cardiac rehabilitation of patients with coronary heart disease. Methods Firstly, 200 patients with coronary heart disease were divided into an experimental group ( n =100) and a control ( n =100). The control group was administered with a current health education model while the experimental group was intervened with a cardiac rehabilitation model informed by standard clinical nursing pathway. The cardiovascular patient quality of life scale score, self-efficacy score and risk factors associated with coronary heart disease of the two groups as monitored before and after intervention were evaluated and compared. Results After intervention, the quality of life score and self-efficacy score in the two groups were higher than those before intervention, with the scores in the experimental group being increased more significantly. The difference was statistically significant ( P <0.05). After intervention, the smoking rate, LDL-C, HbAlc and BMI in both groups were found to have decreased, and the blood pressure compliance rates in both groups were found to have increased, with those of the experimental group being improved more significantly. The differences were statistically significant ( P <0.05). Conclusions The cardiac rehabilitation education model based on clinical nursing pathway can effectively improve the cardiac rehabilitation of patients with coronary heart disease in terms of improvement of quality of life, self-efficacy, and control of relevant risk factors.