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目的:研究分析计算机化健康教育对提高心力衰竭患者自我管理能力的影响。方法:选取2014年10月至2015年9月开封市第二人民医院收治的110例心力衰竭患者,按照随机树表法分为研究组和对照组,每组各55例。对照组患者采取常规健康教育方案治疗,研究组采取计算机化健康教育方案治疗,分析比较两组患者在心功能、自我管理能力和生存质量、病死率、再入院率及平均住院天数等方面的差异。结果:干预前,两组患者在脑钠肽(BNP)、左心室射血分数(LVEF)、纽约心脏病协会(NYHA)心功能分级方面比较,差异无统计学意义(P>0.05)。干预后,研究组的BNP、NYHA分级的下降,LVEF值的升高,与对照组比较,差异具有统计学意义(P<0.05)。干预前,两组患者自我管理得分及生存得分比较,差异无统计学意义(P>0.05)。干预后,研究组的自我管理得分及生存质量得分均比对照组高,组间比较,差异具有统计学意义(P<0.05)。干预10个月后,研究组的病死率比对照组低,组间比较,差异无统计学意义(P>0.05)。两组患者再入院数及平均住院天数比较,差异具有统计学意义(P<0.05)。结论:计算机化健康教育能有效改善患者心功能,提高患者的自我管理能力和生存质量,降低再入院率和平均住院时间,是一种有效、规范、对患者更有益的健康教育模式。
Objective: To study the impact of computerized health education on improving self-management ability of patients with heart failure. Methods: From October 2014 to September 2015, 110 cases of heart failure admitted to Second People’s Hospital of Kaifeng City were divided into study group and control group according to random tree table method, with 55 cases in each group. The patients in the control group were treated by routine health education program. The study group was treated with computerized health education program. The differences in cardiac function, self-management ability and quality of life, case fatality rate, readmission rate and average length of stay were analyzed and compared between the two groups. Results: Before intervention, there was no significant difference between the two groups in the heart function grading of BNP, LVEF and NYHA (P> 0.05). After the intervention, the BNP, NYHA grade decreased and LVEF increased in the study group compared with the control group, the difference was statistically significant (P <0.05). Before intervention, there was no significant difference in self-management score and survival score between the two groups (P> 0.05). After intervention, the self-management scores and quality of life scores of the study group were higher than those of the control group. There was significant difference between the two groups (P <0.05). After 10 months of intervention, the mortality of the study group was lower than that of the control group. There was no significant difference between the two groups (P> 0.05). There was a significant difference between the two groups in the number of hospitalizations and the average hospitalization days (P <0.05). Conclusion: Computerized health education can effectively improve patients ’heart function, improve patients’ self-management ability and quality of life, reduce readmission rates and average length of stay. It is an effective and standardized health education model that is more beneficial to patients.