认知行为干预护理对心脏搭桥术患者负性情绪及自我效能的影响  

Effect of cognitive behavioral intervention nursing on negative emotion and self-efficacy of patients undergoing heart bypass grafting

作　　者：杜晓培[1] 王婷婷[1] DU Xiao-pei;WANG Ting-ting(Heart Surgery of Seventh People's Hospital of Zhengzhou City,Zhengzhou 450,000,Henan,China)

机构地区：[1]郑州市第七人民医院心脏外科,河南郑州450000

出　　处：《中国校医》2020年第10期761-763,共3页Chinese Journal of School Doctor

摘　　要：目的探究认知行为干预护理对心脏搭桥术患者负性情绪及自我效能的影响。方法选择2018年1月—2019年3月于某医院接受治疗的心脏搭桥术患者84例,随机分为2组,每组各42例。对照组采用常规护理,观察组采用认知行为干预护理。对比2组抑郁自评量表(SDS)和焦虑自评量表(SAS)评分、一般自我效能感量表(GSES)评分。结果干预后,观察组SDS评分(35.62±5.51)分、SAS评分(36.51±5.78)分均低于对照组[(42.13±4.76)分、(44.33±4.43)分],(P值均<0.05);干预后,观察组自我效能评分(29.84±4.72)分高于对照组(24.64±4.58)分,(t=5.124,P<0.05)。结论认知行为干预护理较常规护理,有助于心脏搭桥术患者缓解负性情绪,提高自我效能,改善生活质量,临床效果显著。Objective To explore the effect of cognitive behavior intervention nursing on negative emotion and self-efficacy of patients undergoing cardiac bypass grafting.Methods From January 2018 to March 2019, 84 patients undergoingcardiac bypass grafting in a hospital were randomly divided into a control group and a trial group with 42 cases in each group.The control group was treated with the routine nursing, while the trial group was treated with the cognitive behavior interven-tion nursing. The scores of self-rating depression scale(SDS), self-rating anxiety scale(SAS) and general self-efficacy scale(GSES) were investigated and compared between two groups.Results After the interventions, the scores of SDS and SAS ofthe trial group were(35.62±5.51) points and(36.51±5.78) respectively, which were lower than those of the control group[(42.13±4.76) points and(44.33±4.43) points], and there were significant differences between two groups(P < 0.05);thescore of GSES of the trial group was(29.84±4.72) points, which was higher than that of the control group [(24.64±4.58)points], and there was a significant difference between two groups(P < 0.05).Conclusion Compared with the routine nursing,the cognitive behavior intervention nursing is helpful to alleviate the negative emotion, and improve the self-efficacy and thequality of life in the patients undergoing cardiac bypass grafting, and the clinical effect is remarkable.

关 键 词：心脏搭桥术 认知行为 负性情绪 自我效能 

分 类 号：R473[医药卫生—护理学]