认知行为干预对慢性心功能不全患者二级预防知识行为及生活质量的影响
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摘要
目的探讨认知行为干预对慢性心功能不全患者二级预防行为及自我效能的影响。方法选取2015年5月～2017年11月本院心内科收治的50例慢性心功能不全患者,根据随机数字表法将患者分为观察组及对照组,对照组实施常规性护理干预,观察组实施认知行为干预,干预时间为3个月,对其干预效果进行比较。结果观察组患者干预后二级预防知识评分、二级预防行为评分均高于对照组(P <0.05)。观察组干预后心绞痛稳定状态、心绞痛发作、躯体活动受限、疾病认识程度、治疗满意度评分均高于对照组(P <0.05)。结论认知行为干预将有助于提高患者二级预防行为水平,提高患者生活质量。
Objective To explore the effect of cognitive behavioral intervention on secondary prevention behavior and self-efficacy in patients with chronic heart failure. Methods Fifty patients with heart failure who were admitted and treated in department of cardiology in our hospital from May 2015 to November 2017 were selected.According to the random number table method,they were divided into the observation group and the control group.The control group was given routine nursing intervention while the observation group was given cognitive behavior intervention.The intervention time was 3 months,and the effect of the intervention was compared. Results The scores of secondary preventive knowledge and secondary preventive behavior in the observation group were both higher than those in the control group(P < 0.05).The stable state of angina pectoris, onset of angina pectoris,restricted body activity,degree of disease cognition and satisfaction with the treatment in the observation group were higher than those in the control group(P < 0.05). Conclusion Cognitive behavior intervention will help to improve the level of secondary preventive behavior and quality of life of patients.
Objective To explore the effect of cognitive behavioral intervention on secondary prevention behavior and self-efficacy in patients with chronic heart failure. Methods Fifty patients with heart failure who were admitted and treated in department of cardiology in our hospital from May 2015 to November 2017 were selected.According to the random number table method,they were divided into the observation group and the control group.The control group was given routine nursing intervention while the observation group was given cognitive behavior intervention.The intervention time was 3 months,and the effect of the intervention was compared. Results The scores of secondary preventive knowledge and secondary preventive behavior in the observation group were both higher than those in the control group(P < 0.05).The stable state of angina pectoris, onset of angina pectoris,restricted body activity,degree of disease cognition and satisfaction with the treatment in the observation group were higher than those in the control group(P < 0.05). Conclusion Cognitive behavior intervention will help to improve the level of secondary preventive behavior and quality of life of patients.
引文
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[15]王爽.强化护理干预对慢性心功能不全患者生活质量的影响[J].世界临床医学,2016,10(20):174.
[2]张丽华.系统护理干预在冠心病介入治疗中的应用[J].护理研究,2015,(18):2245-2246.
[3]俞怡,周静,俞晓军,等.聚焦解决模式对青年冠心病患者自我效能的影响[J].中华现代护理杂志,2015,21(31):3779-3782.
[4]韩军丽,曾碧媚,陈洁,等.认知行为干预对急性冠脉综合征患者负性情绪的影响[J].吉林医学,2015(1):123-125.
[5]王彩虹,薛龙彦.中文版信息安全自我效能量表的修订与校验[J].图书情报工作,2015,59(7):117-122.
[6]段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):676-679.
[7]王文菁,谭文艳.Zung抑郁自评量表的因子分析[J].广东医学,2011,32(16):2191-2193.
[8]许丽敏,李湘萍,洪宝丽,等.经皮冠状动脉介入治疗术后患者二级预防知识及行为的调查研究[J].中华护理杂志,2010,45(2):135-137.
[9]张元锋.西南地区居民慢性心力衰竭患者自我护理行为及照顾者疾病管理行为水平的调查[J].中国卫生产业,2017,14(7):3-4.
[10]袁红,魏薇.临床路径护理与常规护理对冠心病的不良情绪和生活质量的影响[J].国际护理学杂志,2017,36(4):477-479.
[11]范素梅,张丽,刘锦凤,等.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]王磊,寿晓玲,王志轩,等.认知行为治疗对冠心病心衰患者情绪及心功能的影响[J].中国现代医生,2016,54(36):109-113.
[13]陈海青.强化护理干预对慢性心功能不全患者生活质量的影响[J].吉林医学,2016,22(2):476-477.
[14]李志娟.护理干预对慢性心功能不全患者家庭康复的影响[J].山东医学高等专科学校学报,2015,15(5):393-395.
[15]王爽.强化护理干预对慢性心功能不全患者生活质量的影响[J].世界临床医学,2016,10(20):174.