The effect of health education based on pender′s health promotion theory on life style and living quality of patients with coronary heart disease and undergone percutaneous coronary intervention

医学 经皮冠状动脉介入治疗 健康教育 生活质量(医疗保健) 传统PCI 物理疗法 康复 心绞痛 健康促进 干预(咨询) 冠心病 内科学 护理部 公共卫生 心肌梗塞
作者
Yun Zou
出处
期刊:The Journal of practical nursing 卷期号:34 (20): 1531-1536
标识
DOI:10.3760/cma.j.issn.1672-7088.2018.20.003
摘要

Objective To investigate the effect of health education based on Pender′s health promotion theory on life style and living quality of patients with coronary heart disease and undergone percutaneous coronary intervention (PCI). Methods A total of 124 cases of patients with coronary heart disease, undergone PCI and admitted to hospital from October 2016 to December 2017 were selected as the research objects, and divided into observation group and control group using the random number table method, with 62 cases in each group. All the patients were performed routine nursing intervention including mental intervention, medication guidance, rehabilitation training, complications prevention and follow-up visit after discharge. Besides, patients in control group were performed routine health education, and those in observation group were performed health education based on Pender′s health promotion theory. After 3 months and 6 months of follow-up visit, the healthy life style and living quality of the patients were measured by Pender Health-promoting Lifestyle Profile and Seattle Angina Questionnaire (SAQ). Results After 3 months of follow-up visit, the scores of self-actualization, sports health, balanced diet, employment security and interpersonal support development in observation group were respectively (3.01±0.41), (2.94±0.43), (3.14±0.37), (3.14±0.43) and (2.75±0.41), which were significantly higher than (2.80±0.43), (2.63±0.37), (2.89±0.46), (2.82±0.49) and (2.43±0.47) in control group, and the differences were statistically significant (t=2.783, 4.403, 3.335, 3.865, 4.040, P<0.05); after 6 months of follow-up visit, the scores of self-actualization, sports health, balanced diet, employment security and interpersonal support development in observation group were respectively (3.52±0.44), (3.45±0.52), (3.60±0.34), (3.56±0.35), (3.36±0.45) and (50.61±5.53), which were significantly higher than (3.12±0.45), (2.86±0.40), (3.15±0.52), (3.12±0.46) and (2.86±0.56) in control group, and the differences were statistically significant (t=5.004, 7.081, 5.703, 5.994, 5.480, P<0.05).After 3 months of follow-up visit, the scores of body confinement degree, angina stability, angina attack degree, treatment satisfaction scale and disease cognition degree in observation group were respectively (69.02±3.98), (62.38±4.59), (66.39±5.24), (81.42±7.73) and (70.41±5.38), which were significantly higher than (65.56±3.57), (57.34±5.37), (62.86±4.28), (74.59±7.28) and (65.32±4.23) in control group, and the differences were statistically significant (t=5.096, 5.618, 4.108, 5.065, 5.856, P<0.05); after 6 months of follow-up visit, the scores of body confinement degree, angina stability, angina attack degree, treatment satisfaction scale and disease cognition degree in observation group were respectively (74.20±8.41), (70.12±7.24), (71.30±7.62), (91.30±8.21) and (75.21±8.52), which were significantly higher than (68.56±8.10), (64.45±7.62), (65.32±7.10), (85.36±7.62) and (69.52±7.65) in control group, and the differences were statistically significant(t=3.803, 4.247, 4.786, 4.176, 3.913, P<0.05). Conclusion Health education based on Pender′s health promotion theory can help promote the formation of healthy life style of patients with coronary artery disease and undergone PCI and improve their living quality. Key words: Coronary artery disease; Life style; Percutaneous coronary intervention; Pender′s health promotion theory
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