【摘要】：目的探討健康教育在中老年男性動脈硬化患者中的應(yīng)用效果。方法將228例中老年男性動脈硬化患者隨機分為觀察組和對照組各114例,觀察組實施健康教育,對照組實施常規(guī)教育,比較干預(yù)前后2組患者動脈硬化相關(guān)知識認知水平、脈搏波傳導(dǎo)速度、遵醫(yī)行為及生活質(zhì)量的變化情況。結(jié)果干預(yù)后,觀察組對動脈硬化的病因(89.47%)、治療方法 (85.96%)、常見并發(fā)癥(83.33%)、臨床表現(xiàn)(87.72%)、危險因素(90.35%)、預(yù)防措施(95.61%)、飲食調(diào)整(88.60%)等方面的知曉率均高于對照組(P0.05);觀察組在低鹽、低脂、低熱量飲食(92.11%)、戒煙戒酒(87.72%)、血壓/血糖的監(jiān)測(96.49%)、體重控制(85.96%)、有氧運動(89.47%)和自我放松(86.84%)等方面的遵醫(yī)行為均明顯優(yōu)于對照組(P0.05);觀察組第2次和第3次脈搏波傳導(dǎo)速度(PWV)測量結(jié)果與對照組及自身第1次測量結(jié)果相比,輕度動脈硬化人群比例明顯增加,中、重度動脈硬化人群比例逐漸降低,且有8例患者PWV水平已恢復(fù)到正常值范圍,差異具有統(tǒng)計學(xué)意義(P0.05);觀察組SF-36總分[(587.94±7.93)分]高于對照組[(564.67±5.27)分](P0.05)。結(jié)論健康教育可以提高動脈硬化患者對疾病的認知水平,明顯提升遵醫(yī)行為及生活質(zhì)量,對預(yù)防動脈硬化的發(fā)生和發(fā)展、減輕動脈硬化程度起到積極作用。
[Abstract]:Objective to explore the effect of health education in elderly male patients with arteriosclerosis. Methods 228 middle-aged and aged male patients with arteriosclerosis were randomly divided into observation group (n = 114) and control group (n = 114). Health education was performed in the observation group and routine education was performed in the control group. The cognitive level of arteriosclerosis related knowledge was compared between the two groups before and after intervention. Changes in pulse wave velocity, compliance behavior and quality of life. Results after intervention, the causes of arteriosclerosis (89.47%), treatment methods (85.96%), common complications (83.33%), clinical manifestations (87.72%) and risk factors (90.35%) were observed in the observation group. The awareness rate of preventive measures (95.61%) and diet adjustment (88.60%) was higher than that of the control group (P0.05). In the observation group, low salt, low fat, low calorie diet (92.11%), quitting smoking and alcohol (87.72%), monitoring blood pressure / blood glucose (96.49%), weight control (85.96%), Aerobic exercise (89.47%) and self-relaxation (86.84%) were significantly better than the control group (P0.05). Compared with the results of the control group and the control group, the proportion of mild arteriosclerosis increased obviously, and the proportion of moderate and severe arteriosclerosis decreased gradually, compared with the results of the second and third pulse wave velocity (PWV) measurement in the observation group. The PWV level of 8 patients had returned to the normal range, the difference was statistically significant (P0.05). The total score of SF-36 in the observation group [(587.94 鹵7.93)] was higher than that in the control group [(564.67 鹵5.27)] (P0.05). Conclusion Health education can improve the cognitive level of arteriosclerosis patients, improve the behavior of compliance and quality of life, and play a positive role in preventing the occurrence and development of arteriosclerosis and reducing the degree of arteriosclerosis.
【作者單位】： 遵義醫(yī)學(xué)院附屬醫(yī)院;
【基金】：國家“十二五”科技支撐計劃課題:預(yù)防控制老年相關(guān)疾病的研究(2012BAI10B01) 貴州省科技合作計劃項目:有氧運動對中老年男性脈搏波傳導(dǎo)速度的影響(黔科合LH字〔2015〕7479號)
【分類號】：R473.5

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