冠心病患者 PCI术后实施专科健康教育的效果

目的：探讨冠心病患者PCI 术后实施专科健康教育，对疾病恢复及生活质量的影响。方法将PCI术后的406例患者按掷硬币法随机分为观察组208例和对照组198例。观察组应用专科健康教育护理临床路径表完成院内健康宣教，出院后由专职人员进行4次电话回访，了解健康状况，给予指导和建议。对照组接受常规护理及宣教。比较两组患者出院后12个月的疾病恢复及生活质量相关情况。结果观察组患者出院后12个月再住院率、并发症发生率分别为7．21％，8．17％，低于对照组的31．82％，28．79％，差异有统计学意义（χ2值分别为11．078，10．382；P＜0．05）。观察组患者西雅图心绞痛量表（ SAQ）各维度得分中，心绞痛稳定状态、心绞痛发作情况、治疗满意程度、疾病认知程度评分分别为（82．17±15．15），（89．05±2．25），（82．21±10．47），（77．05±18．00）分，均高于对照组的（70．00±16．85），（75．50±9．10），（70．88±7．48），（64．62±15．45）分，差异有统计学意义（t值分别为5．045，5．873，9．312，12．311；P＜0．05）。结论专科健康教育对PCI术后患者疾病恢复起到重要的保障及指导作用，利于提高治疗依从性，改变不良生活方式，降低再住院率。使患者在生理健康、心脏功能及社会功能恢复方面有明显改善，对其生活质量产生积极影响，提高了治疗的满意度和对疾病的认知。

Effect of specialized health education on patients after percutaneous coronary intervention

Objective To research the effect of specialized health education on patients after percutaneous coronary intervention （PCI）.Methods A total of 406 patients after PCI were randomly divided into observation group （208 patients） and control group （198 patients）.Patients in observation group accepted specialized health education , while patients were followed up by telephone for 4 times.The control group was given routine health education .The compliance and quality of life of patients at 12 after discharge in the two groups were compared .Results In the observation group , the 12-month recharge rate and complication rate were 7.21%and 8.17%, which were significantly lower than 31.82%and 28.79%in the control group （χ2 =11.078, 10.382, respectively;P〈0.05）.In the observation group, the scores of Seattle Angina Questionnaire of angina stability, angina frequency, treatment satisfaction and disease perception were （82.17 ±15.15）, （89.05 ±2.25）, （82.21 ±10.47） and （77.05 ±18.00）, which were significantly higher than （70.00 ± 16.85）, （75.50 ±9.10）, （70.88 ±7.48） and （64.62 ±15.45） in the control group （t=5.045, 5.873, 9.312, 12.311, respectively;P〈0.05 ）.Conclusions Specialized health education is essential to the compliance and quality of life of patients after PCI .