线上结合线下病友互动模式对冠心病患者心理状态、自我和谐水平的影响  

Effects of online and offline patient interaction mode on psychological status and self-harmony level of patients with coronary heart disease

作　　者：李君 张凯 刘敏 李蕊[1] 何慧敏 LI Jun;ZHANG Kai;LIU Min(Nanyang Central Hospital,Nanyang473000,China)

机构地区：[1]河南省南阳市中心医院,473000 [2]南阳市第一人民医院

出　　处：《中国健康心理学杂志》2021年第1期41-45,共5页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划项目(编号:201603527)。

摘　　要：目的:探究线上结合线下病友互动模式用于冠心病干预中对患者心理状态、自我和谐水平等影响。方法:选取2017年1月-2018年12月136例冠心病患者为研究对象,按住院号奇偶数法分成观察组与对照组各68例,对照组进行常规干预,观察组在常规干预基础上行线上结合线下病友互动模式干预,干预前、干预后6个月,采用病人健康问卷抑郁量表(PHQ-9)、广泛性焦虑评定量表(GAD-7)评价患者心理状态,采用一般自我效能感量表(GSES)评价自我效能水平,采用自我和谐量表(SCCS)评价自我和谐水平,采用西雅图心绞痛量表(SAQ)评价生活质量。结果:干预6个月后,观察组PHQ-9、GAD-7评分显著低于对照组(t=-10.132,-10.961;P<0.05);观察组GSES评分显著高于对照组(t=8.789,P<0.05);观察组SCCS评分中自我与经验的不和谐、自我刻板性得分显著低于对照组(t=-2.134,-6.005;P<0.05),自我灵活性得分显著高于对照组(t=4.307,P<0.05);观察组SAQ评分中躯体活动受限程度(PL)、心绞痛稳定情况(AS)、心绞痛发作频率(AF)、治疗满意度(TS)、疾病认知水平(DP)各维度得分均显著高于对照组(t=3.031,5.881,4.104,3.829,3.619;P<0.05)。结论:对冠心病患者采取线上结合线下病友互动模式,能有效缓解患者焦虑、抑郁水平,提高其自我效能感及自我和谐水平,有利于改善患者生活质量。Objective:To explore the effects of online and offline patient interaction mode on psychological status and self-harmony level in coronary heart disease intervention of patients.Methods:A total of 136 patients with coronary heart disease from January 2017 to December 2018 were selected for the study.The patients were divided into observation group and control group according to the odevity of hospitalization number,with 68 cases in each group.Control group was given routine intervention,and observation group was given online and offline patient interaction mode on the basis of routine intervention.Before intervention and at 6 months after intervention,Patient Health Questionnaire-Depression Scale(PHQ-9)and Generalized Anxiety Disorder 7-item scale(GAD-7)were used to evaluate the psychological status,and General Self-Efficacy Scale(GSES)was used to evaluate the self-efficacy level,and Self Consistency and Congruence Scale(SCCS)was used to assess the self-harmony level,and Seattle Angina Questionnaire(SAQ)was used to assess the quality of life.Results:After 6 months of intervention,the scores of PHQ-9 and GAD-7 in observation group were significantly lower than those in control group(t=-10.132,-10.961,P<0.05).The GSES score in observation group was significantly higher than that in control group(t=8.789,P<0.05).The scores of disharmony of self and experience and self-stereotype of SCCS scale in observation group were significantly lower than those in control group(t=-2.134,-6.005,P<0.05),while the self-flexibility score was significantly higher than that in control group(t=4.307,P<0.05).The scores of dimensions of physical limitation(PL),angina pectoris stability(AS),angina pectoris frequency(AF),treatment satisfaction(TS)and disease perception level(DP)of SAQ scale in observation group were significantly higher than those in control group(t=3.031,5.881,4.104,3.829,3.619;P<0.05).Conclusion:Online and offline patient interaction mode for patients with coronary heart disease can effectively alleviate the anxiety and

关 键 词：冠心病 病友互动模式 心理状态 自我效能感 自我和谐水平 生活质量 

分 类 号：R749.92[医药卫生—神经病学与精神病学]