| ObjectiveTo explore the practicability of health education based on PRECDE-PROCEED model on improving the medication adherence of patients after percutaneous coronary intervention. And evaluate the effect of education based on PRECDE-PROCEED model on improving the medication adherence, social support and quality of life of patients after PCI. In order to provide basis of further strengthen the secondary prevention and improving the prognosis of patients after percutaneous coronary intervention. MethodsThis study was a experimental research. 180 patients with coronary heart disease of continuous line successful PCI therapy were selected in top three Hospital from August 2015 to January 2016. They are randomly divided into intervention group(n=90) and control group(n=90). Regulation health education was conducted on patients and their families in control group, education based on PRECDE-PROCEED model was conducted on patients in intervention group,. Before intervention, 3 months after intervention, 6 months after intervention, Mosisky Questionnaire, Seattle Angina Questionnaire, short from of 36 health survey questionnaire, social support rating scale and patients' serum test for evaluating the patients' medication adherence, social support and quality of life. The statistic methods included descriptive statistical analysis, t-test, Chi-square analysis and repetitive measurement and analysis of variance. ResultsThree patients were lost. One patient in intervention group, and two patients in control group. The patients who completed the entire research were divided into intervention group(n=89) and control group(n=88).1. 3 months and 6 months after intervention, intervention group's medication adherence scored significantly higher than control group(P < 0.05). Repetitive measure analysis of variance(ANOVA) : Three times points(before intervention, 3 months and 6 months after intervention), discarding of time factor, patients' medication adherence scores were improved significantly in both groups(P<0.05). Discarding of intervention factor, different points in time, patients' medication adherence scores were improved significantly(P<0.05). Interventional effect and time effect have interaction(P<0.05).2. 3 months and 6 months after intervention, the total score of social support, scores of subjective support, support availability of intervention group were higher significantly than those of the control group(P<0.05). Repetitive measure analysis of variance(ANOVA) : Three times points(before intervention, 3 months and 6 months after intervention), discarding of time factor, the total score of social support, scores of subjective support, support availability were improved significantly in both groups(P<0.05). Discarding of intervention factor, different points in time, the total score of social support, scores of subjective support, support availability were improved significantly(P<0.05). Interventional effect and time effect have interaction(P<0.05).3. 3 months and 6 months after intervention, the life quality scores of intervention group were higher significantly than those of the control group(P<0.05). Repetitive measure analysis of variance(ANOVA) : Three times points(before intervention, 3 months and 6 months after intervention), discarding of time factor, the life quality scores were improved significantly in both groups(P < 0.05). Discarding of intervention factor, different points in time, the life quality scores were improved significantly(P < 0.05). Interventional effect and time effect have interaction(P<0.05).4. 3 months and 6 months after intervention, the results of patients' serum test were better significantly than those of the control group(P<0.05). Repetitive measure analysis of variance(ANOVA) : Three times points(before intervention, 3 months and 6 months after intervention), discarding of time factor, the results of patients' serum test were improved significantly in both groups(P<0.05). Discarding of intervention factor, different points in time, the results of patients' serum test were improved significantly(P < 0.05). Interventional effect and time effect have interaction(P<0.05). ConclusionsPRECDE-PROCEED model health education intervention can improve medication adherence level?social support level and the life quality level of the patients after percutaneous coronary intervention. |
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