治疗性健康教育对冠心病患者运动康复依从性的影响

Influence of theraputic health education on the exercise rehabilitation compliance in patients with coronary heart disease

目的:观察治疗性健康教育对冠心病患者运动训练依从性的影响。方法:2013年6-12月首次确诊冠心病、开始药物治疗的患者,在每周3次30 min 3 km快步行走有氧训练基础上,随机分为A、B两组。A组给予心内科常规健康教育;B组给予治疗性健康教育。结果:3个月后,失访率:A组52.51%,B组20.78%;部分参与运动比例:A组10.06%,B组13.78%;完全参与运动比例:A组15.43%,B组28.52%;认知水平:A组22.09%,B组69.89%;记录日志:A组25.41%,B组63.78%。B组较A组明显改善,差异有统计学意义(P<0.05)。结论:治疗性健康教育能明显改善冠心病患者健康教育效果,降低患者失访率,提高患者参与运动训练比例以及对疾病、治疗、运动康复的认知水平,改善了患者自我管理疾病的能力。

Objective:To observe the influence of theraputic health education on the exercise training compliance in patients with coronary heart disease.Methods:The patients were firstly diagnosed coronary heart disease and begun drug treatment from June to December 2013.On the basis of three times a week 30 minutes 3 km walk briskly aerobic training,they were randomly divided into A, B two groups.A group was given routine health education in department of gardiology;B group was given theraputic health education.Results:After 3 months,the lost follow-up rate:A group was 52.51%,B group was 20.78%;the some participation in sports rate:A group was 10.06%,B group was 13.78%;the full participation in sports rate:A group was 15.43%,B group was28.52%;the cognitive level:A group was 22.09%,B group was 69.89%;the logging:A group was 25.41%,B group was 63.78%;B group was significantly improved than A group,there were significant differences(P<0.05).Conclusion:The theraputic health education significantly improves the effect of health education in patients with coronary heart disease,reduces the lost follow-up rate of patients,improves the participation in sports training rate of patients,and the cognitive level of disease,treatment,rehabilitation exercise,improves the self management disease ability of patients.