持续质量改进在冠心病患者健康教育中的应用及对患者自护能力、负面情绪的影响

Applicationof Continuous Quality Improvement in Health Education of Patients with Coronary Heart Disease and its Influence on Self-care Ability and Negative Emotions

目的探讨持续质量改进在冠心病患者健康教育中的应用及对患者自护能力、负面情绪的影响。方法将我院2015年10月至2017年10月收治的冠心病患者120例,采用随机抽签分为观察组(n=60)和对照组(n=60),对照组给予常规健康教育,观察组在对照组基础上采用持续质量改进方法进行健康教育,比较两组患者治疗前后自护能力评分及抑郁自评量表(SDS)和焦虑自评量表(SAS)评分,及健康教育知识掌握达标率和满意度。结果干预后观察组自护能力总分及各维度评分较干预前均显著升高,且显著高于对照组(P<0.05);干预后两组SDS、SAS评分均较干预前显著下降,且观察组显著低于对照组(P<0.05);观察组患者健康教育知识达标率及满意度显著高于对照组(P<0.05)。结论在冠心病患者健康教育中应用持续质量改进能显著提高患者的自护能力及改善负面情绪。

Objective To explore the application of continuous quality improvement in health education of patients with coronary heart disease and its influence on self-care ability and negative emotions.Methods A total of 120 patients with coronary heart disease admitted to our hospital from October 2015 October 2017 were divided into observation group(n=60)and control group(n=60)by random lottery.Control group received routine health education,and observation group was given continuous quality improvement methodfor health education on the basis of control group.The selfcare ability score and scores of self-rating depression scale(SDS)and self-rating anxietyscale(SAS),and compliance rate of health educationknowledge mastery and satisfactionbefore and after treatment were compared between the two groups.Results After intervention,the total scoreand scores of dimensions of self-care ability in observation group weresignificantly increased compared with those before intervention,and were significantly higher than those in control group(P<0.05).The scores ofSDS and SAS in the two groups were significantly decreased compared with those before intervention,and the scores in observation group were significantly lower than those in control group(P<0.05).The compliance rate and satisfaction of health education knowledge in observation group were significantly higher than those in control group(P<0.05).Conclusion Continuous quality improvement in health education of patients with coronary heart disease can significantly improve self-care ability and enhance negative emotions of patients.