健康教育对中老年男性动脉硬化患者的影响评价

发布时间：2018-11-11 15:57

【摘要】：目的探讨健康教育在中老年男性动脉硬化患者中的应用效果。方法将228例中老年男性动脉硬化患者随机分为观察组和对照组各114例,观察组实施健康教育,对照组实施常规教育,比较干预前后2组患者动脉硬化相关知识认知水平、脉搏波传导速度、遵医行为及生活质量的变化情况。结果干预后,观察组对动脉硬化的病因(89.47%)、治疗方法 (85.96%)、常见并发症(83.33%)、临床表现(87.72%)、危险因素(90.35%)、预防措施(95.61%)、饮食调整(88.60%)等方面的知晓率均高于对照组(P0.05);观察组在低盐、低脂、低热量饮食(92.11%)、戒烟戒酒(87.72%)、血压/血糖的监测(96.49%)、体重控制(85.96%)、有氧运动(89.47%)和自我放松(86.84%)等方面的遵医行为均明显优于对照组(P0.05);观察组第2次和第3次脉搏波传导速度(PWV)测量结果与对照组及自身第1次测量结果相比,轻度动脉硬化人群比例明显增加,中、重度动脉硬化人群比例逐渐降低,且有8例患者PWV水平已恢复到正常值范围,差异具有统计学意义(P0.05);观察组SF-36总分[(587.94±7.93)分]高于对照组[(564.67±5.27)分](P0.05)。结论健康教育可以提高动脉硬化患者对疾病的认知水平,明显提升遵医行为及生活质量,对预防动脉硬化的发生和发展、减轻动脉硬化程度起到积极作用。
[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 卤7.93)] was higher than that in the control group [(564.67 卤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.
【作者单位】：遵义医学院附属医院;
【基金】：国家“十二五”科技支撑计划课题:预防控制老年相关疾病的研究(2012BAI10B01) 贵州省科技合作计划项目:有氧运动对中老年男性脉搏波传导速度的影响(黔科合LH字〔2015〕7479号)
【分类号】：R473.5

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