老年冠状动脉粥样硬化性心脏病患者同伴教育的作用

Zhongxiyi Jiehe Huli (Zhong-Yingwen Ban)

苏秀锦¹ 

关键词: 同伴教育;    冠心病;    认知功能;    药物;    依从性;   

DOI  :  10.11997/nitcwm.201804040

学科分类：护理学

来源: Shanghai Jiao Tong University Press

【 摘 要 】

Abstract：Objective To investigate the effect of the peer education for elderly patients with coronary heart disease(CHD). Methods 〓Totally 158 CHD elderly patients with mild cognitive impairment were assigned to the observation group(n=87)and the control group(n=71). The observation group received regular face-to-face or telephone communication by the trained peer educators, while the control group was given education and regular telephone interviews by ward nurses. The cognitive function and drug therapy compliance of the two groups were evaluated at discharge and 3 months after discharge. Results 〓There were three patients(n=1 in the observation group, n=2 in the control group)who withdrew from the study because of re-hospitalization. Totally 155 patients(n=86 in the observation group, n=69 in the control group)were included in the analysis. Three months after discharge from the hospital, the Montreal Cognitive Assessment(MoCA)score of the two groups was significantly improved(P<0.01), and was higher in the observation group than that of controls(26.55±5.83 vs. 23.15±4.15, P<0.05). Patients in the observation group had a higher level of drugs compliance for secondary prevention compared with those in the control group(P<0.05). Conclusion 〓Peer education is potentially effective to improve the cognitive function of the elderly CHD patients and enhance their compliance of drug therapy for coronary heart disease.

【 授权许可】

CC BY-NC