Clinical outcome of self-management in patients with coronary heart disease by the specialist-guided role exchange in case simulation
Objective To analyze the clinical outcome of self-management in patients with coronary heart disease by the specialist-guided role exchange in case simulation.Methods A total of 90 patients with coronary heart disease undergoing interventional therapy were included as the study subjects.They were randomly assigned into the observation group and control group,with 45 patients in each group.A routine health management was given to all patients,while a specialist-guided role exchange in case simulation was additionally performed in the observation group.Disease awareness level,self-management level,self-efficacy,cardiac function,blood lipids,quality of life,psychological status,and recurrence of cardiovascular events within 6 months were compared between groups.Results Patients in the observation group had significantly higher scores of medication compliance,exercise compliance rate,and self-efficacy compared to those of the control group(P＜0.05).There was no significant difference in the disease awareness score before interventions between the two groups(P＞0.05),which significantly increased in both groups after interventions,especially higher in the observation group(P＜0.05).Before interventions,there were no significant differences in the left ventricular end-systolic volume(LVESV),left ventricular end-diastolic volume(LVEDV),and left ventricular ejection fraction(LVEF)between the two groups(P＞0.05),which significantly increased in both groups after interventions,especially higher in the observation group(P＜0.05).Before interventions,there were no significant differences in the low-density lipoprotein and total cholesterol between the two groups(P＞0.05),which significantly decreased in both groups after interventions,especially lower in the observation group(P＜0.05).Before interventions,there were no significant differences in the anxiety and depression scores between the two groups(P＞0.05),which significantly decreased in both groups after interventions,especially lower in the observation group(P＜0.05).Before interventions,there was no significant difference in the score of quality of life between the two groups(P＞0.05),which significantly increased in both groups after interventions,especially higher in the observation group(P＜0.05).The readmission rate of the observation group was significantly lower than that of the control group(P＜0.05).Conclusion Specialist-guided role exchange in case simulation can improve the disease awareness level,self-management level,and cardiac rehabilitation quality,and reduce the risk of recurrence of cardiovascular events and the levels of anxiety and depression in patients with coronary heart disease patients,which is beneficial for improving the quality of life.
cardiology specialtyrole exchangescenario simulationcoronary heart diseaseself managementcardiac functionquality of lifecardiovascular
万方数据
维普
