健康教育及受教育程度对慢性心力衰竭患者个人管理行为的影响
《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]
- 期数:
- 2015年第3期
- 页码:
- 318-320,324
- 栏目:
- 临床研究
- 出版日期:
- 2015-01-11
文章信息/Info
- Title:
- Effect of health education on personal care behavior in patients with chronic heart failure
- 作者:
- 华晓芳
- (恩施州中心医院心血管内科，湖北 恩施 445000)
- Author(s):
- HUA Xiao-fang
- (Department of Cardiology, Central Hospital of Enshi, Enshi 445000, Hubei, China)
- 分类号:
- R453
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 目的:探讨健康教育对慢性心力衰竭(CHF)患者个人管理行为的影响。方法:将来我院就诊的90名CHF患者，随机分为教育干预组（n=43）和对照组（n=47）。教育干预措施主要由医师主导的关于CHF发病机制及防治的普及，包括日常个人管理，用药原则及对饮食锻炼的要求等。以问卷形式电话随访3个月，收集患者个人管理行为资料，采用SPSS13.0软件进行分析。并且对90例CHF患者的服药依从性进行问卷调查，分析服药依从性与其受教育程度的相关性。结果:随机干预前两组患者之间日常个人管理行为无显著差异，3个月后干预组患者个人管理行为明显强于对照组（P<0.05）。且CHF患者服药依从性与其受教育程度呈正相关（r=0.882，P<0.01）。结论:对CHF患者采取教育干预会提高患者个人管理意识；受教育程度越高的CHF患者其服药依从性越好。
- Abstract:
- AIM:To explore the impact of health education on personal care behavior in patients with chronic heart failure. METHODS: Ninety patients with heart failure were randomly divided into educational intervention group (n=43) and control group (n=47). Educational intervention was primarily the extension of knowledge on the pathogenesis and prevention of heart failure, including daily personal care, medication and dietary principles and exercise requirements. A 3-month follow-up was conducted in the form of questionnaires or telephone visits and self-care data were collected. The correlation between medication compliance and education level was analyzed. RESULTS: No obvious difference was found in self-care behavior between groups before the intervention, but after the 3-month educational education, the self-care behavior in intervention group was significantly better than in control group (P<0.05). Medication adherence and educational level were positively correlated in chronic heart failure patients (r=0.882, P<0.01). CONCLUSION: Educational intervention can improve self-care behavior in patients with chronic heart failure. The higher the educational level, the better the medication compliance in patients with chronic heart failure.
参考文献/References
[1]Krum H,Driscoll A.Management of heart failure[J].Med J Aust,2013,199(5):334-339.
[2]Thomas JR,Clark AM.Women with heart failure are at high psychosocial risk:a systematic review of how sex and gender influence heart failure self-care[J].Cardiol Res Pract,2011,2011:918973.
[3]Labrunée M,Pathak A,Loscos M,et al.Therapeutic education in cardiovascular diseases: stateoftheartandperspectives[J].Ann Phys Rehabil Med,2012,55(5):322-341.
[4]Oguz S,En?N,Yigit Z.Adaptation of the compliance and belief scales to Turkish for patients with chronic heart failure[J].Turk Kardiyol Dern Ars,2010,38(7):480-485.
[5]秦晓毅,卢新政.2010年NICE慢性心力衰竭诊治指南更新的解读[J].心血管病学进展,2011,32(4):480-485.
[6]Stromberg A,Martensson J,Fridlund B,et al.Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure - Results from a prospective, randomised trial[J].Eur Heart J,2003,24(11):1014-1023.
[7]Rosamond W,Flegal K,Friday G,et al. Heart disease and stroke statistics--2007 update:a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee[J].Circulation,2007,115(5):e69-171.
[8]Riegel B,Lee CS,Dickson VV,et al.An update on the self-care of heart failure index[J].J Cardiovasc Nurs,2009,24(6):485-497.
[9]Baudrant-Boga M,LA,Allenet B.Thinking differently the patient medication compliance:from an injunctive posture to a working alliance between the patient and the healthcare provider:concepts and determinants[J].Ann Pharm Fr,2012,70(1):15-25.
备注/Memo
- 备注/Memo:
- 收稿日期：2014-09-01.
作者简介：华晓芳，主治医师Email：jany20006@126.com
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