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环节式健康教育在急性心肌梗死术后患者中的应用效果

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目的:观察环节式健康教育在急性心肌梗死(AMI)术后患者中的应用效果.方法:选取 2020 年 6 月至 2023 年 1 月该院收治的94例AMI患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各47例.对照组给予常规健康宣教,观察组给予环节式健康教育,比较两组护理前后自我效能[一般自我效能感量表(GSES)]、复发恐惧[恐惧疾病进展简化量表(FoP-Q-SF)]、自我管理行为[冠心病自我管理行为量表(CSMS)]、生命质量[诺丁汉健康调查问卷(NHP)]评分.结果:护理后,两组GSES评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组身体健康、社会家庭等各项FoP-Q-SF评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组症状管理、急救管理、日常生活管理、不良嗜好管理、情绪认知管理、疾病知识管理、治疗依从性管理等各项CSMS评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组身体功能、睡眠情况、社会生活、情绪反应、精力等各项NHP评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05).结论:环节式健康教育应用于AMI患者可提高自我效能感、自我管理行为和生命质量评分,降低复发恐惧评分,效果优于常规健康教育.
Application effects of linked health education in postoperative patients with myocardial infarction
Objective:To observe application effects of linked health education in postoperative patients with acute myocardial infarction(AMI).Methods:A prospective study was conducted on 94 patients with AMI admitted to the hospital from June 2020 to January 2023.According to the random number table method,they were divided into observation group and control group,47 cases in each group.The control group was given routine health education,while the observation group was given the linked health education.The scores of self-efficacy[general self-efficacy scale(GSES)],fear of recurrence[fear of progression questionnaire-short form(FoP-Q-SF)],self-management behavior[coronary artery disease self-management scale(CSMS)]and quality of life[Nottingham health profile(NHP)]were compared between the two groups before and after the intervention.Results:After the nursing,the GSES scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The FoP-Q-SF scores of physical health,social family and other items in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The CSMS scores of SM,FAM,DLM,BHW,ECM,DKM and TCM in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the NHP scores of physical function,sleep,social life,emotional response and vitality in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The linked health education in the patients with AMI can improve the self-efficacy scores,the self-management behavior scores and the quality of life scores,and reduce the fear of recurrence scores.Moreover,it is superior to routine health education.

Linked health educationAcute myocardial infarctionPostoperativeSelf-efficacyFear of recurrenceQuality of lifeSelf-management behavior

李小喜

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周口市中心医院急诊监护室,河南 周口 466000

环节式健康教育 急性心肌梗死 术后 自我效能 复发恐惧 生命质量 自我管理行为

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(14)
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