认知行为干预在住院冠心病患者护理中的应用  

Application of cognitive behavioral therapy in the nursing of inpatients with coronary heart disease

作　　者：郭晓娟[1] 张运生[1] 杨卫芹[2] 周丽娜[2] 

机构地区：[1]河南大学护理学院,河南开封475004 [2]南阳市第一人民医院心血管内科,河南南阳473010

出　　处：《河南大学学报（医学版）》2010年第2期128-132,共5页Journal of Henan University:Medical Science

基　　金：河南省教育厅自然科学研究计划项目(2006310002)

摘　　要：目的:研究认知行为干预在住院冠心病患者护理中的作用。方法:80例冠心病患者随机分为对照组和试验组。对照组进行心血管内科常规护理,试验组进行心血管内科常规护理加认知行为干预。观察干预前后患者的焦虑、抑郁、生活质量的变化,临床疗效和心电图的改善情况。结果:与对照组相比,试验组焦虑、抑郁程度减轻,生活质量各维度评分提高,临床疗效及心电图改善明显,差异有统计学意义(P<0.05)。结论:常规护理加认知行为干预,可以减轻冠心病患者的焦虑、抑郁等负性情绪,提高患者的临床疗效和护理质量,从而提高患者的生活质量。Objective：To study the effect of cognitive-behavioral therapy in the nursing of inpatients with coronary heart disease.Methods： 80 cases of coronary heart disease patients were randomly divided into the control group and the experimental group.The control group were treated with cardiology common nursing,the experimental group were received cardiology common nursing with cognitive-behavioral therapy.The changes of anxiety,depression and quality of life,the improvement of clinical results and ECG in patients before and after intervention were observed.Results： Compared with the control group,the anxiety and depression levels of the experimental group were relieved,the scoring of each dimension of quality of life improved,clinical results and ECG improved significantly,the difference was statistically significant（P〈0.05）.Conclusion： Cardiology common nursing with cognitive-behavioral therapy can alleviate the negative emotion of depression and anxiety in patients with coronary heart disease,improve the clinical efficacy and quality of nursing,further improve the quality of life in patients with coronary heart disease.

关 键 词：认知行为干预 冠心病 护理 

分 类 号：R541.4[医药卫生—心血管疾病]