共情护理配合治疗性沟通在老年住院冠心病患者中的应用效果  

Application effect of empathic nursing combined with therapeutic communication in elderly inpatients with coronary heart disease

作　　者：周文静[1] 牛咏玲 张巧青 彭佳[2] 孙耀星[2] Zhou Wenjing;Niu Yongling;Zhang Qiaoqing;Peng Jia;Sun Yaoxing(CCU Ward,Department of Cardiovascular Medicine,Second Hospital of Shanxi Medical University,Taiyuan 030031,China;First Ward,Department of Neurology,Second Hospital of Shanxi Medical University,Taiyuan 030031,China)

机构地区：[1]山西医科大学第二医院心血管内科CCU病区,太原030031 [2]山西医科大学第二医院神经内科一病区,太原030031

出　　处：《中华现代护理杂志》2022年第28期3945-3949,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨共情护理配合治疗性沟通对老年住院冠心病患者自我负担感、负性情绪及应对方式的影响。方法采用便利抽样法,选取2020年2月—2021年5月山西医科大学第二医院收治的135例老年住院冠心病患者为研究对象,采用随机数字表法分为观察组(n=67)和对照组(n=68)。对照组给予共情护理及常规心理干预,观察组给予共情护理配合治疗性沟通干预。采用自我感受负担量表(SPBS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、医学应对方式问卷(MCMQ)评估患者干预前后的自我负担感、负性情绪及应对方式。结果干预后,观察组患者SPBS、SAS、SDS评分均低于对照组,差异均有统计学意义(P<0.05);观察组患者MCMQ中的面对维度得分高于对照组,回避、屈服维度得分低于对照组,差异均有统计学意义(P<0.05)。结论共情护理配合治疗性沟通用于老年住院冠心病患者中可缓解患者的自我负担感,改善其负性情绪及应对方式,有较高的应用价值。Objective To explore the effects of empathic nursing combined with therapeutic communication on self-burden,negative emotions and coping styles in elderly inpatients with coronary heart disease.Methods Using the convenient sampling,a total of 135 elderly patients with coronary heart disease who were admitted to Second Hospital of Shanxi Medical University from February 2020 to May 2021 were selected as the research objects.The patients were divided into the observation group(n=67)and the control group(n=68)by the random number table method.The control group was given empathy nursing and routine psychological intervention,while the observation group was given empathy nursing combined with therapeutic communication intervention.Self Perceived Burden Scale(SPBS),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Medical Coping Modes Questionnaire(MCMQ)were used to evaluate self-burden,negative emotions and coping styles of patients before and after intervention.Results After the intervention,scores of SPBS,SAS and SDS of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The face dimension score in the MCMQ of the observation group was higher than that of the control group,and the avoidance and yield dimension scores were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Empathy nursing combined with therapeutic communication in elderly inpatients with coronary heart disease can help relieve the patients'sense of self-burden and improve negative emotions and coping styles,which has high application values.

关 键 词：冠心病 老年人 共情护理 治疗性沟通 自我负担感 负性情绪 

分 类 号：R473.5[医药卫生—护理学]