Effect Of Personalized Health Education On The Risk Factors And Reported Outcome Of Coronary Heart Disease After PCI

ObjectiveTo evaluate the cognitive status of cardiovascular risk factors and the reported outcomes of the postoperative patient;Explore the effects of individualized health education on both the condition of cardiovascular risk factors of the PCI postoperative patients and reported outcome of patients,provide more effective nursing health education for the PCI postoperative patients;provide theory research for the related nursing intervention;improve the reported outcomes of patients.MethodsThe 110 patients who met the study conditions from October 2016 to February 2017 were selected from the department of cardiology of a third-grade hospital in Kaifeng city.There are 55 patients in the intervention group(heart one ward)and 55 patients in the control group(heart three ward),including 74 males and 36 females,aged 37-79 years(60.58±9.79 years).The drug treatments and general nursing methods are the same in both groups.The regular health education cardiology is given during the hospitalization.The health education brochure is issued before discharge and follow-up is conducted after discharge.The patients in the intervention group are given the health instruction and health feedback after discharge while the patients in the control group are given routine treatment,The intervention time lasts six months.Independent medical record files are established for the patients in the control group and the health education plans are formulated according to the medical records.And the We-Chat group including the postoperative patients with PCI is established,in which the knowledge about coronary heart diseases is pushed weekly.The frequency of telephone follow-up is one time in two weeks.The 24-hours telephone hotline consultation is provided,which includes the knowledge of coronary heart disease and PCI,risk factors,daily diet,standardized medications,proper exercise volume,and related psychological guidance.The two groups of patients receive the questionnaires about the cognition of cardiovascular risk factors and the patient's clinical outcomes at the time of before discharge,three months after discharge and six months after discharge.The questionnaire of risk factor cognitive is self-programmed according to the secondary prevention guidelines for coronary heart disease.The research tools : The compliance questionnaire is established by Yi Liu who is the professor in Beijing Union Medical College Hospital,The outcome question-are according to the Seattle Angina Questionnaire(SAQ),The Self-Rating Anxiety Scale(SAS).A database is established according to the data entered by two people.SPSS 17.0 statistical software is utilized for analyzing and processing.The statistical methods include statistical description,t-tests of two independent sample,paired t-test,chi-square(?2)test,variance analysis of repeated measurement data,and Non-parametric test of multiple relevant samples,and so on.The statistical difference is determined by P<0.05,the bilateral test standard was ?=0.05.Results(1)There is no statistical difference between the two groups of the baseline data including the general data and clinical diseases of the patients in the intervention group and the control group.(2)Before the intervention,there is no statistical difference about the cognitive status of cardiovascular risk factors between the two groups(P>0.05).After three months and six months the cognitive scores of the intervention group are higher than those of the control group(P<0.001).(3)Before the intervention,there is no statistical difference in the anxiety scores,the outcome questionnaires,the scores of each dimension,Blood pressure,blood glucose,and Blood lipids between the patients in the two groups(P>0.05).After three months and six months of the personalized education intervention,there is a statistical difference in the anxiety scores and the scores of the outcome questionnaires between the patients in the two groups(P<0.05),the same is Blood lipids.After three months of intervention,there is no statistical difference in Blood glucose and Blood pressure between the two groups(P>0.05).There is a statistical difference in Blood glucose and Blood pressure between the two groups after six months of intervention(P<0.05).(4)Both after three and six months of the intervention,there is a statistical difference in compliance scores between the control group and the intervention group(P<0.05),while there is no statistical difference in lifestyle compliance(P>0.05).After six months of the intervention,there is a statistical difference in the compliance questionnaires of each dimension(P<0.05).Conclusion1: Personalized health education interventions can increase the awareness of the cardiovascular risk factors in patients.2: Personalized health education interventions can help the patients establish the healthy lifestyle and dietary habit,reduce or eliminate the negative emotion and unhealthy psychology of the patients,help the patients manage the blood pressure,blood glucose and lipids,improve the reported outcome of the patients and have important significance for the double-heart rehabilitation of the patients after PIC.