强化-维持健康教育对冠心病患者疾病相关知识水平的改善评价

Evaluation on the improvement of disease-related knowledge level of patients with coronary heart disease by strengthening and maintaining health education

目的评价强化-维持健康教育对冠心病患者疾病相关知识水平的改善效果.方法以2020年9月-2022年2月来院就诊的122例冠心病患者为例,随机分组,对照组患者行常规健康宣教,研究组给予强化-维持健康教育,对比分析不同宣教方式对冠心病患者疾病相关知识水平的改善效果,对比两组患者的房颤指标改善情况以及左心室舒张功能改善情况.结果干预后,研究组冠心病相关知识水平掌握度高于对照组,组间差异显著(P<0.05).干预后,研究组CSMS评分较对照组高,组间差异显著(P<0.05).研究组MACE发生率较对照组低,组间差异显著(P<0.05);两组护理前发作频率、发作持续时间、发作时ST段压低程度等无确切差异,P>0.05.护理后,研究组各房颤指标均低于护理前,且低于对照组,P<0.05;两组护理前各项左心室舒张功能指标无较大区别,P>0.05.护理后,研究组舒张末期左心室后壁厚度低于对照组,舒张早期最大峰值速度高于对照组,舒张晚期最大峰值速度低于对照组,P<0.05.结论强化-维持健康教育可提高冠心病患者疾病相关知识水平及自我管理能力,减少心血管不良事件发生.

Ob jective To evaluate the improvement effect of intensive-maintenance health education on the level of disease-related knowledge in patients with coronary heart disease.Methods From Septemher 2020 to February 2022.122 patients with coronary heart disease who came to the hospital for treatment were taken as an example.They were randomly divided into groups.The patients in the control group were given routine health education,and the patients in the research group were given intensive-maintenance health education.The improvement effect of atrial fibrillation index and the improvement of left ventricular diastolic function were compared between the two groups.Results Afier the intervention.the research group had a high level of knowledge about coronary heart disease.and the difference between the groups was P<0.05.Afier the intervention,the CSMS score of the study group was higher,and the difference between the groups was P<0.05.The incidence of MACE in the study group was lower,and the difference between the two groups was P<0.05:there was no exact difference in the frequency of seizures.duration of seizures,and ST segment depression during seizures between the two groups,P>0.05.Afier nursing,the atrial fibrillation indexes in the research group were lower than those hefore nursing,and lower than those in the control group,P<O.05:there was no significant dference in the leff ventricular diastolic function indexes between the two groups before nursing,P>0.05.Afier nursing,the left ventricular posterior wall thickness at end-diastole in the research group was lower than that in the control group.the maximum peak velocity in early diastole was higher than that in the control group,and the maximum peak velocity in late diastole was lower than that in the control group.P<0.05.Conclus ion Strengtheningmaintaining health education can improve the level of disease-related knowledge and self-management ability of patients with coronary heart disease,and reduce the occurrence of adverse cardiovascular events.