健康教育护理路径对冠心病PCI术后心理和生活质量的影响

目的：探讨健康教育护理路径对冠心病经皮冠状动脉介入治疗(PCI)术后心理和生活质量的影响。方法：将120行PCI治疗的冠心病患者随机分为观察组及对照组各60例,对照组实施常规性健康教育,观察组实施健康教育护理路径,分别于入院时及出院时采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)对两组患者心理状况进行评价,采用西雅图心绞痛问卷(SAQ)对两组患者生活质量进行评价,采用自行设计的冠心病疾病认知水平量表对两组患者疾病认知水平进行评价。结果：观察组干预后HAMA、HAMD评分显著低于对照组(P<0.05)。观察组干预后心绞痛稳定性、躯体受限程度、心绞痛发作程度、疾病认知程度、治疗满意度等评分显著高于对照组(P<0.05)。观察组干预后合理饮食、合理作息、运动锻炼、情绪控制、遵医用药等知识评分显著高于对照组(P<0.05)。结论：健康教育护理路径能有效改善冠心病PCI术后患者焦虑、抑郁情绪,提高患者疾病认知水平,从而提高患者生活质量。

The impact of quality of life of coronary and psychological of health care and education path of heart disease after PCI.Wang Yafen1, Guo Wei1, Bai Fengzhi2 *

Objective: To investigate the impact of the quality of life of coronary and psychological of health education intervention care path after treatment (PCI) for coronary heart disease after percutaneous coronary. Methods: 120 patients with coronary artery disease undergoing PCI were randomly divided into observation group(n=60) and control group (n=60).The control group were implemented with routine sexual health education.The observation group were implemented with health education nursing path.The psychological condition of two groups were evaluated with Hamilton Anxiety table (HAMA), Hamilton Depression Scale (HAMD).The quality of life of two groups were evaluated with Seattle angina Questionnaire (SAQ).The self-designed cognitive level of coronary heart disease scale of two groups were evaluated with self-designed cognitive.Results: The levels of HAMA, HAMD scores of observation group were lower than the control group (P <0.05). The intervention angina stability, physical limited extent, the degree of angina attack, disease awareness, treatment satisfaction score of observation group were higher than control group(P<0.05).The reasonable diet, reasonable rest, exercise, emotional control, compliance with medication and other medical knowledge score of observation group were higher than control groups (P <0.05).Conclusions: Health education can effectively improve the care path after PCI in patients with coronary heart disease anxiety and depression, improve cognition in patients with the disease, thereby improving the quality of life of patients.