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中文摘要: 摘要 目的 探讨慢性病管理模式下社区干预对冠心病患者服药依从性、自我效能及临床疗效的影响。方法 选取146例冠心病患者，按照随机对照法随机分为对照组(n=73)和观察组(n=73)，对照组给予常规社区干预，观察组给予慢性病管理模式下社区干预，干预2个月后比较服药依从性、自我效能及临床疗效。结果 （1）观察组干预后服药依从性和自我效能感评分显著高于对照组(P＜0.05)；（2）观察组干预后发作次数和硝酸甘油用量较对照组显著减少(P＜0.05)；（3）观察组干预后生理健康评分、心理健康评分、社会关系评分及周围环境评分较对照组显著提高(P＜0.05)。结论 慢性病管理模式下社区干预可提高服药依从性和自我效能，从而改善冠心病患者的生活质量，提高临床疗效。
Abstract:Abstract Objective To explore the medication compliance , self-efficacy and effect of community intervention for patients with coronary heart disease under chronic disease management. Methods 146 patients with coronary heart disease were divided into control group (n=73)and observation group(n=73). The patients of control group were given community intervention, and patients of observation group were given community intervention under chronic disease management. After 2 months , the medication compliance , self-efficacy and effect were analyzed. Results （1）The scores of medication compliance and self-efficacy in observation group were higher than in control group (P＜0.05). （2）The onset number of angina pectoris and amount of sublingual nitroglycerin in observation group were lower than in control group (P＜0.05).（3）After treatment , the scores of physical health ,mental health, social relationship and environment in observation group were higher than in control group (P＜0.05). Conclusion The community intervention under chronic disease management can improve the medication compliance , self-efficacy and quality of life of patients with coronary heart disease. Its treatment to the enhancement clinical curative effect.
keywords: Key words coronary heart disease chronic disease management the medication compliance self-efficacy
文章编号：3202012008 中图分类号：R541.4 文献标志码：
基金项目:
| 作者 | 单位 |
| 张利娜① ， 史 历① |
| Author Name | Affiliation |
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