慢性心力衰竭患者应用萨提亚模式团体干预对遵医行为、自我效能及幸福感的影响  

Effects of group intervention of Satir model on compliance behaviors,self-efficacy and well-being in patients with chronic heart failure

作　　者：王新敏[1] 齐贵彬 申文宇[1] 邓文静 WANG Xinmin;QI Guibin;SHEN Wenyu(Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]河南省南阳市中心医院,473000 [2]南阳医学高等专科学校第一附属医院

出　　处：《中国健康心理学杂志》2021年第7期992-996,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:201701283)。

摘　　要：目的:探究慢性心力衰竭(CHF)患者应用萨提亚模式团体干预对遵医行为、自我效能及幸福感的影响。方法:回顾性分析2017年6月-2018年7月入院治疗的96例CHF患者临床资料,根据心理干预方式分为萨提亚模式团体干预组(观察组,49例)及常规心理干预组(对照组,47例)。比较两组干预前及干预6周后自尊感[自尊量表(SES)]、自我效能[慢性病自我效能量表(CDSES)]、治疗依从性及积极心理状态[沃里克-爱丁堡积极心理健康量表(WEMWBS)]、幸福感[Campbell幸福感指数量表(IWB)]、生活质量[明尼苏达心力衰竭生活质量调查表(Li HFe)]差异,并记录两组出院后12周再入院率。结果:干预6周后,两组自尊感(SES评分)、自我效能(CDSES评分)、治疗依从性评分、积极心理状态(WEMWBS评分)、幸福感(IWB评分)均较干预前升高(t=-12.286,-12.044,-27.168,-14.479,-10.526,-9.681,-10.106,-18.572,-10.776,-11.333;P<0.05),且观察组自我效能(CDSES评分)、治疗依从性评分高于对照组(t=2.765,2.239;P<0.05);生活质量(Li HFe评分)则较干预前降低(t=19.095,12.106;P<0.01),且观察组低于对照组(t=4.279,P<0.05)。观察组再入院率(6.12%vs 21.28%)明显低于对照组(χ^(2)=4.706,P<0.05)。结论:萨提亚模式团体干预不仅能改善CHF患者心理健康,还能减少再入院,于患者身心健康均有利。Objective:To investigate the effects of group intervention of Satir model on compliance behaviors,self-efficacy and well-being in patients with chronic heart failure(CHF).Methods:The clinical data of 96 patients with CHF who were admitted to hospital from June 2016 to July 2018 were retrospectively analyzed.According to the psychological intervention methods,they were divided into group intervention of Satir model group(observation group,49 cases)and routine psychological intervention group(control group,47 cases).The self-esteem[Self-Esteem Scale(SES)],self-efficacy[Chronic Disease Self-Efficacy Scale(CDSES)],treatment compliance and positive psychological state[Warwick-Edinburgh Mental Well-being Scale(WEMWBS)],well-being[Campbell Index of Well-Being(IWB)]and quality of life[Minnesota Living with Heart Failure Questionnaire(Li HFe)]were compared between two groups before intervention and after 6 weeks of intervention,and the readmission rate in two groups was recorded at 12 weeks after discharge.Results:After 6 weeks of intervention,the self-esteem(SES score),self-efficacy(CDSES score),treatment compliance score,positive psychological state(WEMWBS score)and well-being(IWB score)in the two groups were increased compared with those before intervention(t=12.286,-12.044,-27.168,-14.479,-10.526,-9.681,-10.106,-18.572,-10.776,-11.333;P<0.01),and theself-efficacy(CDSES score),treatment compliance score in observation group were higher than those in control group(t=2.765,2.239;P<0.05).The quality of life(Li HFe score)was decreased compared with that before intervention(t=19.095,12.106;P<0.01),and the score in observation group was lower than that in control group(t=4.279,P<0.05).The readmission rate in observation group was significantly lower than that in control group(6.12%vs 21.28%)(χ^(2)=4.706,P<0.05).Conclusion:Group intervention of Satir model can not only improve the mental health of patients with CHF,but also reduce the readmission,and it is beneficial to the physical and mental health of patients.

关 键 词：慢性心力衰竭 萨提亚模式 团体干预 自尊感 遵医行为 自我效能 

分 类 号：R749.92[医药卫生—神经病学与精神病学]