基于目标监测的健康教育在房颤射频消融术患者出院后的干预效果

Intervention effect of health education based on target monitoring on patients discharged from hospital after radiofrequency ablation of atrial fibrillation

目的:探讨基于目标监测的健康教育在房颤射频消融术患者出院后的干预效果。方法:选取2016年7月至2017年4月中国科技大学附属第一医院南区心内科行房颤射频消融术的130例患者,依据随机数字表法分为干预组(65例)和对照组(65例)。对照组给予常规出院宣教。干预组在对照组基础上,给予基于目标监测的健康教育。比较两组患者出院随访1个月、3个月时服药依从性、焦虑及抑郁水平、房颤复发及主要出血事件发生情况。结果:干预组患者出院随访1个月、3个月服药依从性均优于对照组,干预组出院随访1个月、3个月焦虑水平、房颤复发率及随访3个月抑郁水平、出血事件发生率均低于对照组,差异均有统计学意义(均 P<0.05)。 结论:基于目标监测的健康教育有效提高心房颤动射频消融术患者出院后的服药依从性,改善患者的焦虑、抑郁水平,同时降低患者房颤的复发率及出血事件发生风险。

Objective To explore the intervention effect of health education based on target monitoring on patients discharged from hospital after radiofrequency ablation of atrial fibrillation.Methods From July 2016 to April 2017, 130 patients in the Department of Dardiology of the First Affiliated Hospital of the University of Science and Technology of China who underwent radiofrequency ablation for atrial fibrillation were selected and were divided into intervention group and control gruoup according to the random number method, 65 cases of each group.The control group was given routine discharge education.The intervention group was given health education based on objective monitoring on the basis of the control group.Medication compliance, anxiety and depression levels, atrial fibrillation recurrence and major bleeding events were compared between the two groups at 1 and 3 months of discharge follow-up.Results Patients in the intervention group had better medication compliance at 1 and 3 months of discharge follow-up than those in the control group, and their anxiety level, atrial fibrillation recurrence rate, depression level and bleeding event rate at 1 and 3 months of discharge follow-up were lower than those in the control group, with statistically significant differences (P<0.05).Conclusions The health education based on target monitoring can effectively improve the medication compliance of patients with atrial fibrillation radiofrequency ablation after discharge, improve their anxiety and depression levels, and reduce the recurrence rate of atrial fibrillation and the risk of bleeding events.