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目的探究健康管理对稳定性冠心病患者治疗依从性的影响。方法 76例稳定性冠心病患者,随机分为对照组和观察组,各38例。对照组给予常规管理,观察组在此基础上给予健康管理,观察两组患者12、24及48周内相关指标,比较两组患者的治疗依从性。结果观察组患者12、24及48周内健康行为、CHD知识熟知度、不良情绪控制评分及总分均高于对照组,差异有统计学意义(P<0.05)。观察组患者心血管事件发生率为10.53%、再住院次数为(1.6±1.3)次,均明显低于对照组的28.95%和(2.5±1.6)次,差异有统计学意义(P<0.05)。观察组患者总依从率为76.32%,高于对照组的52.63%,差异有统计学意义(P<0.05)。结论健康管理能有效降低稳定性冠心病患者心血管事件的发生率和再次住院次数,显著提高患者的治疗依从性,具有重要的临床意义。
Objective To investigate the effect of health management on the treatment compliance in patients with stable coronary heart disease. Methods 76 patients with stable coronary heart disease were randomly divided into control group and observation group, 38 cases each. The control group was given routine management. On the basis of this, the observation group was given health management. The relevant indexes of the two groups were observed at 12, 24 and 48 weeks, and the treatment compliance of the two groups was compared. Results In the observation group, the scores of healthy behavior, familiarity of CHD knowledge, bad mood control scores and total score were higher than those of the control group at 12, 24 and 48 weeks (P <0.05). In the observation group, the incidence of cardiovascular events was 10.53% and the number of rehospitalizations was (1.6 ± 1.3) times, both of which were significantly lower than those of the control group (28.95% vs (2.5 ± 1.6)) (P <0.05) . The total compliance rate of observation group was 76.32%, which was higher than that of control group (52.63%), the difference was statistically significant (P <0.05). Conclusions Health management can effectively reduce the incidence of cardiovascular events and re-hospitalization in patients with stable coronary heart disease, and significantly improve the patient’s compliance with treatment. It is of important clinical significance.