多维度协同管理对重度心力衰竭患者心理状态及自我管理行为的影响  

Effect of multi-dimensional collaborative management on mental state and self-management behavior of patients with severe heart failure

作　　者：郭丽[1] 王倩[1] 赵莹[1] GUO Li;WANG Qian;ZHAO Ying(Department of Cardiovascular Medicine,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院心血管内科,450000

出　　处：《中国健康心理学杂志》2021年第3期344-348,共5页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划(编号:KJGG2018075)。

摘　　要：目的:研究多维度协同管理对重度心力衰竭患者心理状态及自我管理行为的影响。方法:选取2014年1月至2019年1月在某院就诊的重度心力衰竭患者396例,分为对照组和观察组各198例。其中对照组采用常规干预,观察组采用多维度协同管理干预,连续治疗3个月。比较观察组与对照组治疗有效率、心率、平均动脉压、负面情绪[焦虑自评表(SAS)和抑郁自评量表(SDS)]、自我管理能力。结果:治疗结束后,观察组治疗有效率明显高于对照组(χ2=6.453,P<0.05);观察组心率、平均动脉压均低于对照组(t=2.517,3.859;P<0.05);观察组SAS、SDS评分均低于对照组(t=7.350,6.737;P<0.05);观察组与对照组比较,观察组疾病管理、饮食管理、日常生活起居行动力评分均高于对照组(t=4.120,5.932,5.500;P<0.05)。结论:多维度协同管理联合常规药物治疗重度心力衰竭,能显著提高治疗有效率,改善患者抑郁及焦虑情绪,提高患者自我管理行为。Objective:To study the effect of multi-dimensional collaborative management on mental state and self-management behavior of patients with severe heart failure.Methods:A total of 396 patients with severe heart failure treated in our hospital from January 2014 to January 2019 were selected.The patients were randomly divided into control group and observation group with 198 cases in each group.The conventional intervention was used in the control group and multi-dimensional collaborative management intervention was used in the observation group.Both groups were treated continuously for 3 months.The effective rate,heart rate,mean arterial pressure,negative emotion[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]and self-management ability were compared between the observation group and the control group.Results:After the treatment,the effective rate of the observation group was significantly higher than that of the control group(χ2=6.453,P<0.05).The heart rate and mean arterial pressure in the observation group were lower than those in the control group(t=2.517,3.859;P<0.05).The scores of SAS and SDS in the observation group were lower than those in the control group(t=7.350,6.737;P<0.05).Compared with the control group,the scores of disease management,diet management and daily life activity in the observation group were higher than those in the control group(t=4.120,5.932,5.500;P<0.05).Conclusion:The multi-dimensional collaborative management combined with conventional drugs in the treatment of severe heart failure can significantly improve the effective rate of treatment,improve patients’ depression and anxiety,and improve patients’ self-management behavior.

关 键 词：重度心力衰竭 多维度协同管理 心理状态 自我管理行为 

分 类 号：R749.92[医药卫生—神经病学与精神病学]