预见性干预配合心理干预对冠心病心绞痛患者心理状态、心电图检查依从性及满意度的影响
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摘要
目的:观察预见性干预配合心理干预对冠心病心绞痛患者心理状态、心电图检查依从性及满意度的影响。方法:将我院120例冠心病心绞痛病例纳为研究对象,以抽签法随机分两组,各60例,对照组予以常规干预,实验组在其基础上实施预见性干预配合心理干预方案,比较两组干预前后焦虑自评量表(SAS)与抑郁自评量表(SDS)评分、生活质量(GQOL-74)评分、遵医行为水平、满意度及临床疗效。结果:实验组总有效率93.33%,明显高于对照组78.33%(χ~2=4.386,P=0.036);实验组干预后SAS评分(t=-3.904,P<0.05)、SDS评分(t=-4.654,P<0.01)明显低于对照组,GQOL-74量表中社会功能(t=6.851,P<0.001)、躯体功能(t=10.961,P<0.001)及心理功能(t=6.005,P=0.001)评分明显高于对照组;实验组适量运动(χ~2=4.910,P<0.05)、心电图检查(χ~2=4.537,P<0.05)、生活规律(χ~2=4.386,P<0.05)、血压监测(χ~2=6.563,P<0.01)依从率及总满意率(χ~2=4.876,P<0.05)明显高于对照组。结论:预见性干预配合心理干预可有效减少冠心病心绞痛患者焦虑、抑郁不良心理,提高心电图检查依从性、满意度,改善其生活质量。
Objective:To observe the effect of predictive intervention combined with psychological intervention on psychological state,electrocardiography compliance and satisfaction of patients with coronary heart disease(CHD)and angina pectoris.Methods:A total of 120 patients with CHD and angina pectoris in the hospital were selected and randomly divided into 2 groups,60 cases in each group.The control group was given routine intervention,while the experimental group was additionally given predictive intervention combined with psychological intervention.Scores of the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and quality of life(GQOL-74),compliance level,satisfaction and effects were compared between the 2 groups before and after nursing.Results:The total effective rate of the experimental group was significantly higher than that of the control group(χ~2=4.386,P<0.05).After intervention,the SAS score(t=-3.904,P<0.05)and SDS score(t=-4.654,P<0.01)of the experimental group were significantly lower than those of the control group,while scores of social function(t=6.851,P<0.001),physical function(t=10.961,P<0.001)and mental function(t=6.005,P<0.001)in GQOL-74 were significantly higher than those of the control group.The compliance rates of the experimental group to moderate exercise(χ~2=4.910,P=0.027),electrocardiography(χ~2=4.537,P<0.05),regular life(χ~2=4.386,P<0.05)and blood pressure monitoring(χ~2=6.563,P<0.01)and the total satisfaction rate(χ~2=4.876,P<0.05)were significantly higher than those of the control group.Conclusion:Predictive intervention combined with psychological intervention can effectively reduce anxiety and depression in patients with CHD and angina pectoris,improve their electrocardiography compliance,satisfaction and quality of life.
Objective:To observe the effect of predictive intervention combined with psychological intervention on psychological state,electrocardiography compliance and satisfaction of patients with coronary heart disease(CHD)and angina pectoris.Methods:A total of 120 patients with CHD and angina pectoris in the hospital were selected and randomly divided into 2 groups,60 cases in each group.The control group was given routine intervention,while the experimental group was additionally given predictive intervention combined with psychological intervention.Scores of the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and quality of life(GQOL-74),compliance level,satisfaction and effects were compared between the 2 groups before and after nursing.Results:The total effective rate of the experimental group was significantly higher than that of the control group(χ~2=4.386,P<0.05).After intervention,the SAS score(t=-3.904,P<0.05)and SDS score(t=-4.654,P<0.01)of the experimental group were significantly lower than those of the control group,while scores of social function(t=6.851,P<0.001),physical function(t=10.961,P<0.001)and mental function(t=6.005,P<0.001)in GQOL-74 were significantly higher than those of the control group.The compliance rates of the experimental group to moderate exercise(χ~2=4.910,P=0.027),electrocardiography(χ~2=4.537,P<0.05),regular life(χ~2=4.386,P<0.05)and blood pressure monitoring(χ~2=6.563,P<0.01)and the total satisfaction rate(χ~2=4.876,P<0.05)were significantly higher than those of the control group.Conclusion:Predictive intervention combined with psychological intervention can effectively reduce anxiety and depression in patients with CHD and angina pectoris,improve their electrocardiography compliance,satisfaction and quality of life.
引文
[1]方丹.知己健康管理在门诊冠心病患者中的护理效果[J].中国健康心理学杂志,2017,25(5):673-676
[2]王育梅,宋美,王冉,等.河北省社区心血管疾病老人伴发抑郁症状及相关因素现况调查[J].中国心理卫生杂志,2016,30(2):86-90
[3]王志慧.PDCA循环管理在老年冠心病治疗中的应用[J].医学临床研究,2016,33(2):405-407
[4]葛均波,徐永健.内科学[M].8版.北京:人民卫生出版社,2013:211
[5]姚淑琴.优质护理对冠心病心理状态及治疗依从性的影响[J].中国基层医药,2015,22(2):319-320
[6]钱蕾,葛兆霞.全局式护理在冠心病介入治疗患者中的应用及临床效果观察[J].护士进修杂志,2017,32(11):1032-1034
[7]李明健,罗贵军.评估预见性干预对心血管重症患者的作用[J].中国循证心血管医学杂志,2016,8(5):593-595
[8]姚云,常丽,张才溢,等.冠心病再次PCI术患者的心理护理[J].中国健康心理学杂志,2015,23(6):845-849
[9]周衍芳,宋崇升,王蕾蕾,等.松弛疗法在失眠障碍中的应用进展[J].神经疾病与精神卫生,2017,17(1):60-62
[10]贾艳滨,卢倩怡.抑郁转双相障碍的认知行为治疗个案概念化报告[J].神经疾病与精神卫生,2017,17(2):110-114
[11]范素梅,张丽,刘锦凤.认知行为干预结合预防性护理对冠心病住院患者的影响[J].蚌埠医学院学报,2016,41(12):1697-1699
[12]白引珠,杨莉.预见性护理干预对老年急性冠脉综合征患者便秘的实施效果[J].实用临床医药杂志,2015,19(18):121-122
[13]曾柏华.预见性护理在不稳定型心绞痛患者护理中的应用效果[J].中国医药导刊,2017,19(6):644-645
[14]关红,孙哲,田宁.预见性护理干预对冠心病患者预后及生活质量的影响[J].海南医学,2016,27(18):3086-3087
[15]沈艳,郁艳梅,钱柯柯.冠心病患者护理中预见性护理程序的应用分析[J].国际心血管病杂志,2017,44(A01):51-52
[16]魏亚.预见性护理在冠心病心绞痛患者护理中的应用分析[J].中国医药导刊,2016,18(10):1056-1057+1066
[2]王育梅,宋美,王冉,等.河北省社区心血管疾病老人伴发抑郁症状及相关因素现况调查[J].中国心理卫生杂志,2016,30(2):86-90
[3]王志慧.PDCA循环管理在老年冠心病治疗中的应用[J].医学临床研究,2016,33(2):405-407
[4]葛均波,徐永健.内科学[M].8版.北京:人民卫生出版社,2013:211
[5]姚淑琴.优质护理对冠心病心理状态及治疗依从性的影响[J].中国基层医药,2015,22(2):319-320
[6]钱蕾,葛兆霞.全局式护理在冠心病介入治疗患者中的应用及临床效果观察[J].护士进修杂志,2017,32(11):1032-1034
[7]李明健,罗贵军.评估预见性干预对心血管重症患者的作用[J].中国循证心血管医学杂志,2016,8(5):593-595
[8]姚云,常丽,张才溢,等.冠心病再次PCI术患者的心理护理[J].中国健康心理学杂志,2015,23(6):845-849
[9]周衍芳,宋崇升,王蕾蕾,等.松弛疗法在失眠障碍中的应用进展[J].神经疾病与精神卫生,2017,17(1):60-62
[10]贾艳滨,卢倩怡.抑郁转双相障碍的认知行为治疗个案概念化报告[J].神经疾病与精神卫生,2017,17(2):110-114
[11]范素梅,张丽,刘锦凤.认知行为干预结合预防性护理对冠心病住院患者的影响[J].蚌埠医学院学报,2016,41(12):1697-1699
[12]白引珠,杨莉.预见性护理干预对老年急性冠脉综合征患者便秘的实施效果[J].实用临床医药杂志,2015,19(18):121-122
[13]曾柏华.预见性护理在不稳定型心绞痛患者护理中的应用效果[J].中国医药导刊,2017,19(6):644-645
[14]关红,孙哲,田宁.预见性护理干预对冠心病患者预后及生活质量的影响[J].海南医学,2016,27(18):3086-3087
[15]沈艳,郁艳梅,钱柯柯.冠心病患者护理中预见性护理程序的应用分析[J].国际心血管病杂志,2017,44(A01):51-52
[16]魏亚.预见性护理在冠心病心绞痛患者护理中的应用分析[J].中国医药导刊,2016,18(10):1056-1057+1066