概念重建理论对急性心肌梗死伴瓣膜返流患者知信行水平、负性情绪、应对方式的干预作用  

Intervention of conceptual reconstruction theory on KAP level,negative emotion and coping style in patients with acute myocardial infarction with value regurgitation

作　　者：周瑛君 尹洪涛 蔡丽丽[1] 周彦清 ZHOU Yingjun;YIN Hongtao;CAI Lili;ZHOU Yanqing(CCU 2 Department,Qinhuangdao First Hospital,Qinhuangdao Hebei 066300,China)

机构地区：[1]秦皇岛市第一医院CCU 2科,河北秦皇岛066300

出　　处：《中国急救复苏与灾害医学杂志》2022年第6期705-709,共5页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：河北省医学课题项目(编号:202004A028)。

摘　　要：目的探讨概念重建理论对急性心肌梗死伴瓣膜返流患者知信行(KAP)水平、负性情绪、应对方式、睡眠质量的干预作用。方法选取2020年9月-2021年3月秦皇岛市第一医院收治的92例急性心肌梗死伴瓣膜返流患者作为研究对象,根据建档顺序不同分组,各46例,给予对照组常规干预,在对照组基础上给予观察组概念重建理论干预,比较两组干预前后瓣膜返流程度、KAP水平、负性情绪、应对方式、睡眠质量(PSQI)。结果出院后3个月两组瓣膜返流程度均优于干预前,差异有统计学意义(P<0.05),但两组相比无显著差异(P>0.05);出院后3个月观察组知识、态度、行为3个维度评分均高于对照组,焦虑、抑郁、内向性激惹、外向性激惹等维度负性情绪评分均低于对照组,屈服、回避评分低于对照组,面对评分高于对照组,睡眠质量PSQI评分低于对照组,差异均有统计学意义(P<0.05)。结论在急性心肌梗死伴瓣膜返流患者管理中,概念重建理论有助于提升患者知信行水平,减轻或消除负性情绪,纠正消极应对方式,改善睡眠质量。Objective To explore the intervention effects of conceptual reconstruction theory on knowledge,belief and Practice(KAP),negative emotion(IDA),coping style and sleep quality in patients with acute myocardial infarction with value regurgitation.Methods 92 patients with acute myocardial infarction with value regurgitation treated in our hospital from September 2020 to March 2021 were selected as the research object.46 patients in each group were divided into different groups according to the filing order.They were given routine intervention in the control group and conceptual reconstruction theory intervention in the observation group on the basis of the control group.The degree of value regurgitation,KAP level,IDA,coping style Sleep quality(PSQI).Results Three months after discharge,the degree of value regurgitation in the two groups was better than that before intervention(P<0.05),but there was no significant difference between the two groups(P>0.05);Three months after discharge,the scores of knowledge,attitude and behavior in the observation group were higher than those in the control group,the IDA scores of anxiety,depression,introversion and extroversion were lower than those in the control group,the scores of yield and avoidance were lower than those in the control group,the face score was higher than those in the control group,and the PSQI score of sleep quality was lower than that in the control group(P<0.05).Conclusion In the management of patients with acute myocardial infarction with value regurgitation,the concept reconstruction theory is helpful to improve the level of knowledge,belief and behavior,reduce or eliminate negative emotions,correct negative coping styles and improve sleep quality.

关 键 词：概念重建理论 急性心肌梗死 瓣膜返流 负性情绪 应对方式 

分 类 号：R473.54[医药卫生—护理学]