体验式健康教育在冠心病患者中的应用

Effects of experiential health education on coronary heart disease patients

目的探讨体验式健康教育对冠心病患者血脂、血糖控制情况和自我管理水平的影响。方法便利抽取2018年6—12月哈尔滨医科大学附属第四医院急诊内科住院治疗的冠心病患者244例作为研究对象,采用随机数字表将其随机分为试验组120例和对照组124例,试验组接受冠心病常规健康教育和体验式健康教育,对照组接受常规健康教育。比较两组患者干预后冠心病自我管理量表(CSMS)得分,空腹血糖、餐后2 h血糖、总胆固醇、甘油三酯、高密度脂蛋白、低密度脂蛋白的差异。结果干预后,试验组患者CSMS得分为(74.23±3.11)分,高于对照组患者的(58.14±2.98)分,两组得分比较差异有统计学意义(P<0.001)。干预后两组患者除总胆固醇外,其余各项生化指标比较差异均有统计学意义(P<0.05)。结论冠心病体验式健康教育相比常规健康教育更能够提高冠心病患者的自我管理水平,促进冠心病患者的生化指标的控制。

Objective To explore the effects of experiential health education on the compliance with blood fat and blood glucose control and self-management levels in patients with coronary heart disease. Methods Totally 244 coronary heart disease patients hospitalized in the Department of Emergency Medicine, the Fourth Affiliated Hospital of Harbin Medical University between June and December 2018 were randomly selected and stratified into experimental group (n=120) and control (n=124) groups according to the random number table. Patients in the experimental group received both conventional and experiential health education for coronary heart disease, while patients in the control group received conventional health education. They were investigated with the General Information Questionnaire and Coronary Self-management Scale (CSMS), fasting blood glucose, 2 hours postprandial blood glucose, total cholesterol, triglyceride, high-density lipoprotein, and low-density lipoprotein after intervention. Results After intervention, CSMS score of the experimental group was (74.23±3.11), which was higher than the control group, and the difference between the two groups was statistically significant (P<0.05). After intervention, except the total cholesterol, the difference between the two groups of the rest of the biochemical indexes was statistically significant (P<0.05). Conclusions Compared with conventional health education, experiential health education can improve the self-management level of coronary heart diseases patients and facilitate their control of biochemical indexes.