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基于格林模式的健康教育护理在冠心病患者中的应用效果

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目的:观察基于格林模式的健康教育护理在冠心病患者中的应用效果.方法:选取 2022 年 3 月至 2023 年 2 月该院收治的116 例冠心病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 58 例.对照组实施常规护理,观察组在对照组基础上采用基于格林模式的健康教育护理,比较两组护理前后疾病认知水平、自我管理行为[冠心病自我管理行为量表(CSMS)]评分、生命质量[西雅图心绞痛量表(SAQ)]评分和护理满意度.结果:护理后,两组疾病知识掌握度、诱发因素控制、健康行为评分均高于护理前,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);两组疾病认知程度、心绞痛发作情况、心绞痛稳定状态、躯体活动受限程度、治疗满意程度等SAQ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);观察组护理满意度为 100.00%(58/58),高于对照组的 81.03%(47/58),差异有统计学意义(P<0.05).结论:基于格林模式的健康教育护理应用于冠心病患者提高疾病认知水平、自我管理行为评分、生命质量评分和护理满意度的效果优于常规护理.
Application effects of health education nursing based on Green model in patients with coronary heart disease
Objective:To observe application effects of health education nursing based on Green model in patients with coronary heart disease.Methods:A prospective study was conducted on 116 patients with coronary heart disease admitted to this hospital from March 2022 to February 2023.According to the random number table method,they were divided into observation group and control group,58 cases in each group.The control group was given routine nursing,while the observation group was given the health education nursing based on Green model on the basis of that of the control group.The disease cognition level,the self-management behavior[coronary artery disease self-management scale(CSMS)]score,the quality of life[Seattle angina questionnaire(SAQ)]before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of disease knowledge mastery,inducing factor control and health behavior 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).After the nursing,the CSMS 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).After the nursing,the SAQ scores of disease cognition,angina pectoris attack,stable state of angina pectoris,physical activity limitation and treatment satisfaction 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 nursing satisfaction of the observation group was 100.00%(58/58),which was higher than 81.03%(47/58)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The health education nursing based on Green model in the patients with coronary heart disease can improve the cognitive levels of disease,the self-management behavior scores,the quality of life scores and the nursing satisfaction.Moreover,it is superior to the routine nursing.

Coronary heart diseaseGreen modelHealth education nursingDisease cognitionSelf-management behaviorQuality of lifeNursing satisfaction

鲍双爽、侯文静

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郑州人民医院郑东院区心血管内科,河南 郑州 450000

冠心病 格林模式 健康教育护理 疾病认知 自我管理行为 生命质量 护理满意度

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(20)