Objective To investigate the effect of the continued self-management education on the health knowledge level and self-care ability of patients with coronary heart disease (CHD).Methods A total of 80 patients with coronary heart disease(CHD) treated in our hospital were randomly divided into control group (40 cases) and observation group (40 cases) according to the random number table method.The patients in the control group received the conventional health education and the patients in the observation group were additionally provided continued self-management education.Patients of two groups were followed up for two years.Disease rehabilitation awareness,secondary prevention behavior,self-care ability,blood glucose and lipid levels were compared.Results After intervention,rehabilitation knowledge,secondary intervention behavior score and selfcare ability scores in observation group were significantly higher than that of the control group (P ＜ 0.05).After intervention,TC,TG,HDL-C,blood sugar level of both groups were significantly improved,and LDL-C level in the observation group was higher than that in the control group,the other indices was significantly lower,the difference was statistically significant (P ＜ 0.05).Conclusion Continued self-management education can effectively improve patient's health knowledge and self-care ability,improve blood lipid and blood sugar,and is conducive to rehabilitation and prognosis of patients with CHD.%目的 探讨分析延续性自我管理教育对冠心病患者自护能力和健康能力水平的影响.方法 选取冠心病患者80例,按照随机数表法将患者分为对照组和观察组各40例.对照组接受常规健康教育,观察组在常规健康教育的基础上接受延伸性自我管理教育.随访2组患者2年.观察患者疾病康复知识知晓情况、干预后二级预防行为、自护能力的差异、血糖血脂水平.结果 干预后观察组患者康复知识、二级干预行为评分和自护能力评分显著高于对照组患者(P＜0.05).干预后2组患者TC、TG、HDL-C、血糖水平均比干预前显著改善,LDL-C水平观察组患者高于对照组,其余指标观察组显著低于对照组,差异有统计学意义(P＜0.05).结论 延续性自我管理教育能够改善患者血脂血糖,能够有效提高患者的健康知识水平和自护能力,有利于CHD患者的康复和预后.
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