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Influence of continuous self-management education on disease self-management ability of patients with interventional treatment of coronary heart disease

DENG Chunyou;XIE Zhiheng;ZHANG Junling;ZENG Shuyuan;LI Youqiong;Boluo People's Hospital;  
Objective To explore the influence of continuous self-management education on disease selfmanagement ability of patients with Interventional treatment of coronary heart disease. Methods 200 patients with interventional treatment of coronary heart disease who were admitted to our hospital from January 2012 to January 2014 were randomly divided into two groups with 100 patient in each. All of them were treated with conventional nursing, and the patients of observation group were further treated with continuous self-management education. Effectiveness of two groups were evaluated after one month's intervention, and patients' depression and anxiety were evaluated by Self-rating Depression Scale(SDS) and Self-rating Anxiety Scale(SAS). Self-management ability questionnaire of patients with coronary heart disease that made by our hospital was used to evaluate patients' patterns of life, periodic review, behavior of drug compliance, discontinue the habit of smoking and drinking, exercise, balanced diet and so on. Results The differences between scores of SDS and SAS of two groups after and before intervention were both statistically significant(P 0.05). Scores of SDS and SAS of observation group after intervention were significantly lower than that of control group, and the difference was statistically significant(P 0.05). Self-management effectiveness including periodic review, behavior of drug compliance and regular exercise of observation group in 6 months after discharge was significantly higher than that of control group, and the difference was statistically significant(P 0.05). Self-management effectiveness including periodic review, behavior of drug compliance, regular exercise and balanced diet of observation group in 12 months after discharge was significantly higher than that of control group, and the difference was statistically significant(P 0.05). Conclusion Continuous self-management education on patients with interventional treatment of coronary heart disease has a positive effect on the treatment and improve patients' quality of life.
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