主要照顾者健康教育对老年冠心病患者PCI术后生活质量的影响

Effect of primary caretakers' health education on the quality of life in elderly patients with coronary heart disease undergoing percutaneous coronary intervention

目的探讨主要照顾者健康教育对老年冠心病(CHD)患者经皮冠状动脉介入治疗(PCI)术后生活质量的影响。方法分别将2017年6月—8月、9月—11月在南京医科大学第一附属医院初次行PCI术的96例老年CHD患者设为对照组与观察组,观察组均配对1名主要照顾者。对照组实施常规健康教育,观察组在对照组基础上对主要照顾者进行系统的健康教育。评估2组生活质量及心血管不良事件发生情况。结果干预后,2组简易健康量表(SF-36)及西雅图心绞痛量表(SAQ)各维度评分均较干预前明显改善,且观察组更明显(P<0.05)。对照组出现心血管不良事件12(12.50%)例、再住院15(15.63%)例、再狭窄10(10.42%)例;观察组出现心血管不良事件2(2.08%)例、再住院3(3.26%)例、再狭窄1(1.09%)例,2组比较差异有统计学意义(P<0.05)。结论对主要照顾者加强健康教育可有效改善老年CHD患者PCI术后的生活质量。

Objective To explore the effect of primary caretakers’ health education on the quality of life(QOL) in elderly patients with coronary heart disease(CHD) undergoing percutaneous coronary intervention(PCI). Methods The elderly CHD patients initially undergoing PCI were selected in The First Affiliated Hospital of Nanjing Medical University from June to August, September to November, 2017, and were respectively set as control group(n=96) and observation group(n=96) matched with one primary caretaker. The control group received routine health education, while the observation group was added systematic health education to primary caretakers based on routine education. The QOL and major adverse cardiovascular events were evaluated between two groups. Results After intervention, each dimensional score of short form 36 health survey questionnaire(SF-36) and Seattle angina questionnaire(SAQ) were improved obviously in two groups, but the improvement degree in observation group was more significant(P<0.05). In control group, there were 12(12.50%) cases of adverse cardiovascular events, 15(15.63%) cases of re-hospitalization and 10(10.42%) cases of recurrent stenosis;in observation group, there were 2(2.08%) cases of adverse cardiovascular events, 3(3.26%) cases of re-hospitalization and 1(1.09%) cases of recurrent stenosis, and significant differences were shown(P<0.05). Conclusion The primary caretakers’ health education can effectively improve the QOL in elderly CHD patients undergoing PCI.