刘艳丽 童静 童丽

【摘 要】目的：分析并评价健康教育对冠心病心绞痛患者的护理效果。方法：选择我院收治的70例冠心病心绞痛患者进行研究，根据不同护理方法分组：实施常规护理措施的为对照组，共计35例；实施健康教育措施的为观察组，共计35例；比较两组患者的护理效果。结果：观察组健康知识达标率、治疗依从性分别为91.43%、94.29%，均显著高于对照组的74.29%、77.14%，差异均具有统计学意义（P<0.05）；观察组情绪职能、社会功能、躯体功能、健康情况四个项目评分均优于对照组，对比两组生活质量，观察组显著优于对照组，差异具有统计学意义（P<0.05）。结论：健康教育对冠心病心绞痛患者的护理效果显著，值得推广。

【关键词】健康教育；冠心病；心绞痛

Analysis of nursing effect of health education on patients with coronary heart disease and angina pectoris

Liu Yanli1， Tong Jing2， Tong Li1

1.Cuijiashan health center， Liulin Town， Chenggu County， Hanzhong Shaanxi 723212， China 2.Health center of Lianhua sub district office， Chenggu County， Hanzhong Shaanxi 723212， China

【Abstract】Objective：To analyze and evaluate the nursing effect of health education on patients with coronary heart disease and angina pectoris.Methods：70 patients with coronary heart disease and angina pectoris in our hospital were studied and divided into groups according to different nursing methods. Routine nursing measures were implemented in the control group， a total of 35 cases. Health education measures were implemented in the observation group， with a total of 35 cases. The nursing effects of the two groups were compared.Results：The standard rate of health knowledge and treatment compliance in the observation group were 91.43% and 94.29% respectively， which were significantly higher than 74.29% and 77.14% in the control group（P<0.05）.The scores of emotional function， social function， physical function and health of the observation group were better than those of the control group.Compared with the quality of life of the two groups， the observation group was significantly better than the control group（P<0.05）. Conclusion：Health education has a significant nursing effect on patients with coronary heart disease and angina pectoris， which is worth popularizing.

【Key？Words】health education； coronary heart disease； angina pectoris

冠心病是因為冠状动脉粥样硬化，导致官腔阻塞、狭窄，引发心肌缺血、缺氧、坏死等，属于一种多发病、常见病。心绞痛是冠心病最常见的类型，心绞痛（angina pectoris）是冠状动脉供血不足，心肌急剧的暂时缺血与缺氧所引起的以发作性胸痛或胸部不适为主要表现的临床综合征，心绞痛是心脏缺血反射到身体表面所感觉的疼痛[1]，特点为前胸阵发性、压榨性疼痛，可伴有其他症状，疼痛主要位于胸骨后部，可放射至心前区与左上肢，劳动或情绪激动时常发生，每次发作持续3分钟～5分钟，可数日一次，也可一日数次，休息或用硝酸酯类制剂后消失，本病多见于男性，多数40岁以上，对患者的身心健康带来较大的影响[2]，在该疾病的治疗中，配合良好的护理，能改善患者的预后，提高疾病疗效。……