基于感恩拓延-建构理论的干预模式对冠心病伴抑郁症的影响  

Influence of intervention mode based on gratitude extension-construction theory on coronary heart disease complicated depression

作　　者：潘艳[1] 马美玲[1] 陈凤芹 PAN Yan;MA Mei-ling;CHEN Feng-qin(Department of Cardiology,Suzhou Municipal Hospital of Anhui Province,Suzhou,Anhui,234000,China)

机构地区：[1]安徽省宿州市立医院心内科,安徽宿州234000

出　　处：《心血管康复医学杂志》2023年第2期124-129,共6页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:研究基于感恩拓延-建构理论的干预模式对冠心病伴抑郁症患者的影响。方法:于我院治疗的98例冠心病伴抑郁症患者被随机均分为常规护理组和理论干预组(常规护理组基础上加用基于感恩拓延-建构理论的干预模式),两组均干预3个月。比较两组干预前后汉密尔顿抑郁量表(HAMD)、总体幸福感量表(GWB)、冠心病自我管理量表(CSMS)及医学应对方式问卷(MCMQ)评分。结果:与常规护理组比较,干预后,理论干预组HAMD评分[(11.78±2.76)分比(10.24±2.47)分]、MCMQ屈服应对[(12.67±2.41)分比(11.65±2.11)分]及回避应对评分[(13.67±2.21)分比(12.27±2.40)分]降低更显著;GWB评分[(65.10±5.48)分比(67.84±6.54)分],CSMS不良嗜好管理[(9.67±3.67)分比(11.43±3.89)分]、日常生活管理[(11.37±2.41)分比(12.37±2.32)分]、治疗依从性管理[(10.20±2.37)分比(11.55±2.35)分]、情绪认知管理评分[(14.18±3.09)分比(15.59±2.78)分],MCMQ面对应对评分[(22.29±2.36)分比(23.65±2.24)分]升高更显著(P<0.05或<0.01)。结论:基于感恩拓延-建构理论的干预模式能够显著改善冠心病伴抑郁症患者抑郁症状,提高幸福感及自我管理,改善对疾病的应对方式。Objective:To study influence of intervention mode based on gratitude extension-construction theory(GECT)on patients with coronary heart disease(CHD)complicated depression.Methods:A total of 98 CHD patients with depression treated in our hospital were randomly and equally divided into routine nursing group and theoretical intervention group(received GECT intervention model based on routine nursing group).Both groups were intervened for three months.Scores of Hamilton rating scale for depression(HAMD),general well-being schedule(GWB),coronary self-management scale(CSMS)and medical coping modes questionnaire(MCMQ)before and after intervention were compared between two groups.Results:Compared with routine nursing group,after intervention,there were significant reductions in scores of HAMD[(11.78±2.76)scores vs.(10.24±2.47)scores],submission coping[(12.67±2.41)scores vs.(11.65±2.11)scores]and avoidance coping[(13.67±2.21)scores vs.(12.27±2.40)scores]of MCMQ,and significant rise in scores of GWB[(65.10±5.48)scores vs.(67.84±6.54)scores],bad habit management[(9.67±3.67)scores vs.(11.43±3.89)scores],daily living management[(11.37±2.41)scores vs.(12.37±2.32)scores],treatment compliance management[(10.20±2.37)scores vs.(11.55±2.35)scores]and emotional cognition management[(14.18±3.09)scores vs.(15.59±2.78)scores]of CSMS and confront coping[(22.29±2.36)scores vs.(23.65±2.24)scores]of MCMQ in theoretical intervention group(P<0.05 or<0.01).Conclusion:Intervention mode based on gratitude extension-construction theory can significantly improve depressive symptoms,well-being,self-management,and disease coping style in patients with coronary heart disease complicated depression.

关 键 词：冠心病 抑郁 心理疗法 

分 类 号：R541.4[医药卫生—心血管疾病]