基于时机理论的结构式心理干预模式在急性心肌梗死患者中的应用效果  

Application Effect of Structured Psychological Intervention Model Based on Timing Theory in Patients with Acute Myocardial Infarction

作　　者：李静[1] 尹泽亮 赵帅[1] LI Jing;YIN Zeliang;ZHAO Shuai(Department of Emergency Medicine,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院急诊内科,河南南阳473000

出　　处：《河南医学研究》2022年第8期1519-1522,共4页Henan Medical Research

摘　　要：目的探讨基于时机理论的结构式心理干预模式在急性心肌梗死(acutemyocardialinfarction,AMI)患者中的应用效果。方法前瞻性选取2020年12月至2021年10月南阳市中心医院收治的104例AMI患者作为研究对象,采用简单随机分组法分为A、B组,最终纳入A组63例,B组41例,B组患者接受常规护理干预,A组患者接受基于时机理论的结构式心理干预模式。比较两组患者干预前、干预3个月后焦虑自评量表(SAS)、9条目患者健康问卷(PHQ-9)、血压、心率、肾上腺素、自我效能感量表(GSES)、日常生活能力量表(ADL)差异。结果干预3个月后,两组SBP、DBP、心率、肾上腺素水平均较干预前下降,且A组低于B组(P<0.05),两组SAS、PHQ-9评分均较干预前下降且A组各项评分低于B组(P<0.05),两组GSES、ADL评分均较干预前升高,且A组各项评分高于B组(P<0.05)。结论基于时机理论的结构式心理干预模式能够有效改善AMI患者负面情绪及机体功能水平,提高自我效能及生活自理能力,值得临床参考借鉴。Objective To explore the application effect of structured psychological intervention model based on timing theory in patients with acute myocardial infarction(AMI).Methods A total of 104 AMI patients admitted to Nanyang Central Hospital from December 2020 to October 2021 were prospectively selected as the research subjects,and were divided into groups A and B by simple random coin tossing method,and group A with 63 patients and group B with 41 patients.Group B were treated with routine nursing intervention,and group A were treated with structured psychological intervention model based on timing theory.Self-rating anxiety scale(SAS),9-item patient health questionnaire-9(PHQ-9),blood pressure,heart rate,adrenaline,general self-efficacy scale(GSES),activity of daily living scale(ADL)of two groups before and after 3 months’intervention were compared.Results After 3 months’intervention,the levels of SBP,DBP,heart rate,and adrenaline of two groups were lower than those before intervention,and the levels in group A were lower than those in group B(P<0.05),the SAS and PHQ-9 scores of two groups were lower than those before intervention,and the scores of group A were lower than those of group B(P<0.05),and the GSES and ADL scores of two groups were higher than those before intervention and the scores of group A were higher than those of group B(P<0.05).Conclusion The structured psychological intervention model based on timing theory can effectively improve AMI patients’negative emotions and body function levels,improve self-efficacy and self-care ability,and is worthy of clinical reference.

关 键 词：时机理论 结构式心理干预模式 急性心肌梗死 应用效果 

分 类 号：R473.5[医药卫生—护理学]