目的 探究基于问题导向式的健康教育在冠心病患者经皮冠状动脉介入术(PCI)后的应用效果。方法 选取2017年3 月～2018年3月于我院接受治疗的82例冠心病患者为受试对象，按照随机数字法分为研究组与对照组各41例。对 照组予以常规护理，研究组予以问题导向式健康教育护理。比较两组患者护理前及护理2周后凝血功能[血小板 (Plt)、凝血酶原时间(PT)、活化部分凝血活酶时间(APTT)]及生活质量[生活质量评价量表(SF)]；记录两组患者护 理2周后不良反应情况。结果 护理2周后，与护理前相比，护理2周后，两组患者Plt数量均降低，且研究组明显低 于对照组(P＜0.05)；PT、APTT时间均明显增加，且研究组明显高于对照组(P均＜0.05)；SF得分均明显升高，且研 究组明显高于对照组(P均＜0.05)。护理2周后，研究组患者不良反应总发生率明显少于对照组(P均＜0.05)。结论 问题导向式健康教育护理PCI术后冠心病患者，减少不良反应发生，提高生活质量。

Objective To explore the application effects of problem-oriented health education on patients with coronary heart disease after percutaneous coronary intervention (PCI). Methods 82 cases of patients with coronary heart disease who were treated in our hospital from March 2017 to March 2018 were enrolled in the study. According to the random number table method, the patients were divided into study group and control group, with 41 cases in each group. Control group was given routine nursing, and study group was given problem-oriented health education. Coagulation function [platelets (Plt), prothrombin time (PT), activated partial thromboplastin time (APTT)] and quality of life [quality of life assessment scale (SF)] were compared between the two groups before nursing and after 2 w of nursing. The adverse reactions of the two groups were recordedafter 2 wof nursing. Results Compared with before nursing, the quantity of Plt was decreased in the two groupsafter 2 w of nursing, and the quantity in study group was significantly lower than that in control group (P<0.05). The PT and APTT were obviously increased, and the two indexes in study group were significantly higher than those in control group (all P<0.05). The SF scores were significantly increased, and the score in study group was significantly higher than that in control group (all P<0.05). After 2 wof nursing, the total incidence rate of adverse reactions in study group was significantly lowerthan that in control group (all P<0.05). Conclusion Problem-oriented health education nursing for patients with coronary heart disease after PCI can reduce adverse reactions and improve quality of life.