Effects of standardized self-management education on treatment compliance in patients with coronary heart disease
10.3760/cma.j.issn.1674-2907.2016.02.023
- VernacularTitle:规范化自我管理教育对冠心病患者治疗依从性的影响
- Author:
Hui GUO
1
;
Haitang YU
;
Lan BAI
Author Information
1. 150001 哈尔滨医科大学附属第一医院心血管内科二病房
- Keywords:
Coronary heart disease;
Health education;
Self-management;
Treatment compliance
- From:
Chinese Journal of Modern Nursing
2016;22(2):234-237
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of standardized self-management education on treatment compliance in patients with coronary heart disease ( CHD) . Methods The study investigated 120 patients with CHD who were admitted in First Affiliated Hospital of Harbin medical university from March 2013 to March 2014. According to random number table method, the participants were divided into two groups: intervention group and control group, 60 cases in each group. The patients of control group received normal nursing care;the patients of intervention group underwent standardized self-management educated based on the normal care. The effectiveness of self-management and patients′ treatment compliance of these two groups were evaluated and compared. Results Before the interventions, the scores of the effectiveness of self-management in control group and intervention group were (21. 22 ± 5. 63) and (20. 56 ± 5. 74) (t =0. 562, P >0. 05). After the interventions, the scores in the control group and intervention group were ( 25. 26 ± 8. 01 ) and ( 35. 56 ± 5. 33);both of the groups were significantly improved after the intervention (t=3. 245, 15. 774;P<0. 01);and the intervention group improved more obviously than that of the control group (t =11. 236,P <0. 01). Moreover, the intervention group performed better in: adherence to medical regimens, reasonable rest, reviewon time, giving up smoking and drinking, proper diet, reasonable exercise, and preventing infection comparing with that of control group (t=5. 224, 6. 035, 5. 942, 4. 993, 4. 798, 5. 648, 6. 498, 5. 858;P<0. 01). Conclusions The standardized self-management education with normal nursing care is effective to motivate CHD patients and to improve their self-management ability and treatment compliance.