基于多元文化护理理论的健康教育在急性心肌梗死出院患者中的应用

目的 探讨多元文化护理理论对急性心肌梗死出院者健康教育效果的影响.方法 选取某三甲医院急性心肌梗死出院患者86例,随机分为对照组和干预组各43例.两组均接受常规健康教育,干预组在此基础上接受基于多元文化护理理论的健康教育,出院3个月后,比较两组健康促进生活方式量表得分情况.结果 干预3个月后,干预组患者健康促进生活方式量表总得分为（143.84±7.483）分,对照组（126.86±10.16）分,两组比较差异有统计学意义（t=8.82,P＜0.05）；干预后干预组患者生活质量各项碍分为（79.07±1.30）,（89.15±15.80）,（82.79±12.21）,（77.70 ±6.23）,（78.29±7.31）高于对照组的（77.26±2.90）,（78.30±20.42）,（75.58±12.21）,（72.92±10.44）,（73.83±5.92）,两组比较差异有统计学意义（P＜0.05）.结论 以多元文化护理理论为指导的健康教育有助于改善患者生活方式,提高其生活质量.

Application of transcultural-nursing-theoretical-based health education in discharged patients with acute myocardial infarction

Objective To investigation the effect of transcultural nursing theoretical on health education for the discharged patients with Acute Myocardial Infarction.Methods Selected 86 discharged patients with acute myocardial infarction from a hospital and were divided into intervention group and control group randomly,there was 43 patients each group.Both groups received conventional health education,on this basis,intervention group received the transcultural-nursing-theoretical-based health education.Then,observed two groups of health promotion lifestyle questionnaire score,quality of life scores after three months.Results Before the intervention,compared the health promoting lifestyle and quality of life score of the two groups,the difference was no statistically significant （t =0.00 ～ 1.765,t =0.645 ～ 1.615,P ＞ 0.1）.After three months,the health promotion lifestyle questionnaire score of the intervention group was significantly higher than that in the control group,the difference was statistically significant （143.84 ±7.483 vs 126.86 ± 10.16,t =8.82,P ＜0.05）,quality of life score of the intervention group was significantly higher than that in the control group,the difference was statistically significant [（79.07 ± 1.303） vs （77.26 ± 2.90）,（89.15 ± 15.803） vs （78.30 ±20.42）,（82.79 ±12.213） vs （75.58 ± 12.21）,（77.70 ±6.231） vs （72.92 ±10.44）,（78.29 ±7.305） vs （73.83 ± 5.92） ; P ＜ 0.05].Conclusions As a guide to multicultural nursing theory,health education help to improve the lifestyle of patients,to increase their quality of life,which is an effective health education mode for patients with acute myocardial infarction after discharge.