LERANS模式在冠心病支架植入术后患者健康教育中的应用

Application of LERANS mode in health education for patients with coronary heart disease after stent implantation

目的:探讨LERANS模式在冠心病支架植入术后患者健康教育中的应用效果,为患者临床护理提供相关指导。方法:选取2017年10月至2018年10月于阜阳市第二人民医院行冠心病支架植入术的156例患者为研究对象。按照随机单双数法,将所有研究对象分为对照组和研究组,各78例。对照组患者予以常规健康教育模式,研究组患者予以LER A NS模式。对比两组患者教育前后自护能力、自我效能,并分析两组患者生活质量。结果:教育后,两组患者自护能力均明显提高,研究组患者自护能力总评分为(149.82±24.12)分,明显高于对照组[(121.03±21.15)分],差异有统计学意义(P<0.05);教育后,两组患者自我效能均明显提高,研究组患者自我效能评分[(35.84±6.33)分],明显高于对照组[(25.25±5.14)分],差异有统计学意义(P<0.05);研究组患者生活质量总评分[(402.43±98.61)分],明显高于对照组[(328.12±71.57)分],差异有统计学意义(P<0.05)。结论:LER ANS模式在冠心病支架植入术后患者健康教育中的应用效果显著,促进患者自护能力及自我效能提高,从而提高其生活质量,值得大力推广。

Objective:To investigate the effect of LERANS mode in the health education for patients with coronary heart disease after stent implantation,and to provide relevant guidance for clinical care of patients.Methods:A total of 156 cases of patients who underwent coronary heart disease stent implantation in our hospital from October 2017 to October 2018 were selected as the research subjects.All subjects were divided into control group and study group according to the random odd and even number method,with 78 cases in each.Patients in the control group were given the conventional health education model,and patients in the study group were given the LERANS mode.The self-care ability and self-efficacy of the two groups of patients were compared before and after education,and the quality of life of the two groups of patients were analyzed.Results:After education,the self-care ability of the two groups of patients was significantly improved,the total score of the self-care ability of the study group was(149.82±24.12)points,which was significantly higher than that of the control group(121.03±21.15),the difference was statistically significant(P<0.05);after education,the self-efficacy of the two groups of patients was significantly improved,the self-efficacy score of the study group was(35.84±6.33)points,which was significantly higher than that of the control group(25.25±5.14)points,the difference was statistically significant(P<0.05);the total quality of life score of patients in the study group was(402.43±98.61)points,which was significantly higher than that of the control group(328.12±71.57)points,the difference was statistically significant(P<0.05).Conclusion:The LERANS mode has a significant effect on the health education of patients with coronary heart disease after stent implantation,and promotes the patient’s self-care ability and self-efficacy,thereby improving their quality of life,which is worth promoting vigorously.