The Study Of Health Education Program Development And Intervention For Patients After Percutaneous Coronary Intervention

Coronary heart disease has been the main cause of morbidity and mortality incardiovascular disease all over the world. According to a survey conducted by theWorld Health Organization (WHO), there will be250million people who sufferfrom cardiovascular disease every year since2020.China and other developingcountries will have to face the high incidence of coronary heart disease, coronaryheart disease will bring enormous physical and psychological burden for patients,and huge economic burden for the patients’ families and our society.Percutaneouscoronary intervention for coronary heart disease has brought a revolutionarybreakthrough. It will relieve symptoms of patients and shorten the duration ofhospitalization, and it also have the advantages, such as minimally invasive damage,less pain, and quicker recovery, and without thoracotomy. However, some patientsoften neglect to improve their own unhealthy lifestyle, and lack motivation ofchanging unhealthy lifestyle. These unhealthy lifestyles are prone to disorders ofglucose and lipid metabolism, and may reduced secretion of sex hormone, therebyincreasing the prevalence of central obesity, hypercholesterolemia,hypertriglyceridemia and insulin resistance, resulting in the gradual accumulation ofrisk factors, which influence the postoperative recovery of patients with coronaryheart disease.Objective:The study aimed at post-PCI to formulate an accurate assessment of the degreeof recovery and the impact on patients after PCI, and to provide accurate scientificbasis for effective health education of patients with coronary heart disease. Methods:Take to the same period in randomized controlled trials,156cases after PCIwere selected from February2010to May2011in Changchun CentralHospital,,between40to70years old, and no other underlying diseases, such asrheumatic heart disease, cancer, kidney dysfunction, etc., Patients who have themental disorders or heart failure (Cardiac function classification III or IV level)ornonattainment blood glucose were excluded, Obtained after informed consent ofpatients, the patients were randomly divided into two groups: the intervention groupand the control group; intervention group patients receive comprehensive healtheducation,and control group of patients receive conventional health education. Thena unified investigation and examination of the two groups of patients, and collect thepatient’s drug taking situation, coronary heart disease risk factors, and generalinformation; intervention group based on the Standard target level of ACC/AHA2011/2012after PCI with coronary heart disease risk factors (low-density lipoprotein,body mass index, waist circumference fasting glucose) as a criteria. Balancedcomparable standard deviation, percentage, t test, chi-square test the generalobjective data of the two groups, the baseline level of coronary risk factors, andbaseline level of durg therapy taking were analyzed statistically, Univariate analysis(chi-square test) and multivariate analysis (unconditional logistic regression) wereused for statistics, rule out confounding factors6months and12months after PCI,the drug treatment,coronary heart disease risk factors，the ECG UCG compliancerate6months and12months after PCI were no difference between the twogroups.This study developed a system care process of patients after PCI andassessed the feasibility of the program.Results:1. General Information of patients, baseline level of coronary heart disease riskfactors, baseline level of drug use were statistically no difference between the twogroups (P>0.05);2.The blood pressure (BP), low-density lipoprotein cholesterol, waist circumference (WC), quit smoking, Movement compliance rate in interventiongroup was higher6months after PCI (P <0.05). Fasting glucose (FB)and bodymass index (BMI)were no difference between the two groups (P>0.05); univariateand multivariate analysis results showed that: exclude confounding factors of sixmonths after the drug treatment, the intervention group blood pressure (BP), LDL-C,WC, quit smoking, lack of exercise affect the compliance rate of four risk factors ofcoronary heart disease.3.BP, LDL-C, FB, BMI, WC, quit smoking, movement compliance rates in theintervention group are higher than that of the control group12months after PCI (P<0.05), the results of univariate and multivariate analysis showed that: excludingconfounding effects of medication after12months, BP, LDL-C, BMI,WC, smoking,lack of exercise in the intervention group affect the compliance rate, the FB controland conventional health education are no difference (P>0.05). ECG, UCG attainmentintervention group was higher(P<0.01). Recurrent hospitalization rate of interventiongroup was significantly lower than the control group (P<0.01).Conclusion:1. The health care system developed by needs of patients after PCI combinedwith a specific embodiments, have practical operability, can improve patientmedication and lifestyle compliance to promote the rehabilitation of the disease,ultimately achieve the purpose of improving the quality of life.2. Five risk factors for coronary heart disease including blood pressure (BP),Low-density lipoprotein cholesterol (LDL-C), waist circumference (WC), quitsmoking, Movement compliance rate control effect can be comfirmed the HealthManagement for6months after PCI.3.12months after the intervention, comprehensive health education after PCIBP, LDL-C, BMI, WC, lack of exercise, smoking six coronary heart disease riskfactors control the effects can be confirmed.4. The effect of FB control in comprehensive health education was nodifference with convention health education; 5. The effect of the long-term health education intervention may be better thanthe short-term health education intervention.