Esmaeili Vardanjani Safar Ali, Fanisaberi Laleh, Alirezaee Shahraki Firozeh, Khalilzadeh Ahmad, Tavakoli Vardanjani Abdolazim, Ghani Dehkordi Fatemeh
Shahrekord University of Medical Science, Shahrekord, Iran.
Nurs Res Pract. 2013;2013:675634. doi: 10.1155/2013/675634. Epub 2013 May 27.
Management of risk factors and heart health indexes in the patients who have been diagnosed with myocardial infarction will result in prevention of secondary myocardial infarction, reduction of postimprovement mortality, increase of life span and improvement of life quality. Patient education has been found to be one of the most fundamental and essential care programs on the basis of identification and control of the patients' health criteria. The study is a quasi-experimental research consisting of two groups. In this study, 112 patients with myocardial infarction who were below the age of 70 were selected randomly and divided into two groups (case group and control group) after being matched based on age and sex. The researcher first measured the health indexes including smoking, cholesterol level, body mass, level of anxiety, and amount of systolic and diastolic blood pressure in patients who have been diagnosed with myocardial infarction for the first time. He performed education program in case group and analyzed the said variables after four months. He also compared the behaviors in the two groups after being educated. The data was analyzed by SPSS software, version 15 (This product is licensed to FeFDBi, ABiComputer, 1337), and the two groups were compared by using appropriate statistical tests. According to the results, after education period, systolic blood pressure of the case group improves compared with control group (P < 0.05/P = 0.022), case group tends to quit smoking more than control group does (P = 0.013), cholesterol level of case group improves compared with control group (P < 0.0001), changes of body mass are more positive in case group compared with control group (P = 0.012), and anxiety of case group reduces compared with control group (P < 0.0001).
对已诊断为心肌梗死的患者进行危险因素管理和心脏健康指标管理,将预防继发性心肌梗死,降低改善后的死亡率,延长寿命并提高生活质量。基于对患者健康标准的识别和控制,患者教育已被视为最基本和重要的护理项目之一。该研究是一项由两组组成的准实验性研究。在本研究中,随机选择了112名70岁以下的心肌梗死患者,并在根据年龄和性别进行匹配后分为两组(病例组和对照组)。研究人员首先测量了首次诊断为心肌梗死的患者的健康指标,包括吸烟情况、胆固醇水平、体重、焦虑程度以及收缩压和舒张压水平。他在病例组实施了教育项目,并在四个月后分析了上述变量。他还比较了两组在接受教育后的行为。数据使用SPSS软件15版(本产品授权给FeFDBi、ABiComputer、1337)进行分析,并使用适当的统计检验对两组进行比较。结果显示,在教育期后,病例组的收缩压与对照组相比有所改善(P<0.05/P = 0.022),病例组比对照组更倾向于戒烟(P = 0.013),病例组的胆固醇水平与对照组相比有所改善(P<0.0001),病例组的体重变化与对照组相比更积极(P = 0.012),病例组的焦虑程度与对照组相比有所降低(P<0.0001)。