摘要
目的 探究赋权激励教育模式对老年冠心病经皮冠状动脉介入治疗（PCI）术患者出院准备度及健康相关行为的影响。方法 以我院2020年8月～2021年8月收治的老年冠心病PCI术患者108例为研究对象，采用随机数字表法分为对照组和研究组，各 54 例。对照组患者给予心内科常规健康教育，研究组患者在对照组基础上给予赋权激励教育模式。比较两组患者出院时的出院准备度和健康相关行为的差异，及随访6个月两组患者健康相关行为的差异。结果 研究组患者出院时的出院准备度评分明显高于对照组（P<0.05）；出院时，两组患者健康相关行为比较，差异无统计学意义（P>0.05）；研究组随访6个月后健康相关行为水平明显高于对照组（P<0.05）。结论 对老年冠心病PCI术患者进行赋权激励教育模式干预，可有效提升患者出院准备度评分，促进健康相关行为的养成。
关键词： 赋权激励教育；经皮冠状动脉介入治疗；出院准备度；健康相关行为
Abstract
Objective To explore the effect of empowerment and incentive education model on the readiness for hospital discharge and health-related behaviors of elderly patients with coronary heart disease undergoing percutaneous coronary intervention (PCI). Methods A total of 108 elderly patients with coronary heart disease who underwent PCI in our hospital from August 2020 to August 2021 were selected as the research objects. They were divided into control group and study group by random number table method, with 54 cases in each group. Patients in the control group were given routine health education in cardiology, and patients in the study group were given the empowerment and incentive education model on the basis of the control group. The differences in discharge readiness and health-related behaviors of the two groups of patients at the time of discharge were compared, and the differences in health-related behaviors of the two groups of patients were followed up for 6 months. Results The discharge readiness score of the patients in the study group was significantly higher than that in the control group (P<0.05). At the time of discharge, there was no significant difference in health-related behavior between the two groups (P>0.05). After 6 months of follow-up, the level of health-related behaviors in the study group was significantly higher than that in the control group (P<0.05). Conclusion The empowerment and incentive education model intervention for elderly patients with coronary heart disease after PCI can effectively improve the patient's discharge readiness score and promote the development of health-related behaviors.
Key words： Empowerment and incentive education; Percutaneous coronary intervention; Discharge readiness; Health-related behavior
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