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目的探讨提醒性药盒的院外综合干预对冠心病PCI术后患者遵医行为的影响。方法按PCI术的先后顺序,将100例PCI术后患者分为观察组和对照组,两组于2013年1-12月实施干预,均给予健康教育,并对观察组给予特制提醒性药盒。于2014年1-12月对两组患者进行随访观察。结果观察组共48例、对照组共47例完成研究。干预结束时和干预后随访结束时,两阶段两组间知识知晓得分差异均无统计学意义(t=1.04和1.79,P>0.05),但观察组信念态度得分和行为生活方式得分高于对照组(t=3.03~19.89,P<0.01)。两阶段的遵医行为(包括合理膳食、不吸烟、适量运动、心理调节、血压定时检测、规律服药)观察组均优于对照组(χ~2=4.77~13.84,P<0.05),观察组冠心病危险因素包括血压、低密度脂蛋白及空腹血糖达标率均优于对照组(χ~2=3.46~13.18,P<0.05),观察组PCI术后心脏事件的发生明显少于对照组(χ~2=3.971~4.872,P<0.05)。干预结束后和干预后随访结束时相比,观察组行为改变得分变化差异无统计学意义(t=1.56,P>0.05),而对照组行为改变得分下降(t=5.75,P<0.01)。结论在健康教育的基础上。对院外冠心病PCI术后患者采用具有提醒功能的特制药盒,有利于“提醒”和“督促”患者建立并保持良好的遵医行为,从而有效防止心脏事件的发生,值得推广应用。
Objective To investigate the effect of comprehensive hospital-based interventions on the compliance behavior of patients with coronary heart disease after PCI. Methods According to the order of PCI, 100 cases of patients after PCI were divided into observation group and control group. The two groups were intervened from January to December, 2013, both were given health education, and the observation group was given special reminder kit . From January to December 2014, two groups of patients were followed up. RESULTS: A total of 48 patients in the observation group and 47 in the control group completed the study. At the end of intervention and the end of follow-up, there were no significant differences in knowledge-aware scores between the two groups at two stages (t = 1.04 and 1.79, P> 0.05), but the scores of belief attitude and behavioral lifestyle were higher in the observation group than in the control Group (t = 3.03 ~ 19.89, P <0.01). The observation group was better than the control group (χ ~ 2 = 4.77 ~ 13.84, P <0.05) in the two phases of compliance (including reasonable diet, no smoking, moderate exercise, The risk factors of coronary heart disease including blood pressure, low density lipoprotein and fasting blood glucose compliance rates were better than those of the control group (χ ~ 2 = 3.46-13.18, P <0.05). The incidence of cardiac events in the observation group was significantly less than that of the control group χ ~ 2 = 3.971 ~ 4.872, P <0.05). There was no significant difference in scores of behavioral change between the end of the intervention and the end of the follow-up (t = 1.56, P> 0.05), but decreased in the control group (t = 5.75, P <0.01). Conclusion Based on health education. Adopting a special medicine box with reminding function for outpatients with coronary heart disease after PCI will be helpful to establish and maintain good compliance behavior in patients with “remind ” and “supervise ”, so as to effectively prevent the occurrence of cardiac events and worth promoting application.