认知行为联合预防性护理干预对冠心病患者PCI后焦虑抑郁及生活质量的影响  

The Combined Application of Cognitive Behavioral Nursing Intervention and Preventive Nursing Measures on Postoperative Anxiety, Depression, and Quality of Life in Patients with Coronary

作　　者：岑思 CEN Si(CCU Ward of Liaoyang Central Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市中心医院CCU病房,辽阳111000

出　　处：《中国医药指南》2024年第3期156-158,共3页Guide of China Medicine

摘　　要：目的 分析冠心病患者接受经皮冠状动脉介入术(PCI)后身心状况,评价认知行为联合预防性护理干预的积极意义。方法选择我院2021年5月至2023年5月期间收治的PCI冠心病患者,总计80例。进行随机数字表法分组护理,对照组行常规护理,观察组配合认知行为+预防性护理干预,比较两组患者PCI术后焦虑抑郁、自护能力及生活质量情况,其中两组患者焦虑抑郁情况分别应用焦虑自评量表(SAS)、抑郁自评量表(SDS)进行评价;以自我护理能力实施量表(ESCA)对患者PCI术后自护能力进行评价;以健康调查简表(SF-36)对患者PCI术后生活质量进行评价。结果 PCI治疗后,观察组患者SAS评分(40.05±3.30)分、SDS评分(39.50±3.50)分均低于对照组(P <0.05);干预后观察组患者ESCA评分(130.50±4.50)分高于对照组(P <0.05);生活质量对比方面,观察组患者生理功能(75.50±6.50)分、生理职能(65.50±5.50)分、总体健康(60.50±5.30)分、躯体疼痛(68.80±4.50)分、精神健康(74.50±4.50)分、社会功能(80.50±5.50)分、情感职能(65.80±5.60)分、活力(78.70±6.50)分均高于对照组(P <0.05)。结论 对PCI治疗冠心病患者进行认知行为指导联合预防性护理干预,对患者预后康复有重要影响,可以显著降低患者不良情绪,提高自我护理能力,增强患者术后生活质量。Objective To analyze the physical and mental status of patients with coronary heart disease after percutaneous coronary intervention(PCI),and to evaluate the positive significance of cognitive behavior combined with preventive nursing intervention.Methods A total of 80 patients with PCI coronary heart disease admitted to our hospital from May 2021 to May 2023 were selected.Randomized number table grouping nursing was performed,while the control group received routine nursing.The observation group cooperated with cognitive behavior and preventive nursing interventions to compare the anxiety and depression,self-care ability,and quality of life of the two groups of patients after PCI.The anxiety and depression of the two groups of patients were evaluated using the Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS),respectively;Evaluate the self-care ability of patients after PCI using the Exercise of Self Care a Gency(ESCA)scale;The quality of life of patients after PCI was evaluated with the Short Form of Health Survey(SF-36).Results After PCI treatment,the SAS score(40.05±3.30)and SDS score(39.50±3.50)of the observation group were lower than those of the control group(P<0.05);After intervention,the ESCA score of patients in the observation group(130.50±4.50)was higher than that in the control group(P<0.05);In terms of quality of life comparison,the scores of physiological function(75.50±6.50),physiological function(65.50±5.50),overall health(60.50±5.30),physical pain(68.80±4.50),mental health(74.50±4.50),social function(80.50±5.50),emotional function(65.80±5.60),and vitality(78.70±6.50)in the observation group were higher than those in the control group(P<0.05).Conclusions Cognitive behavioral guidance combined with preventive nursing intervention for patients with coronary heart disease treated with PCI has an important impact on their prognosis and recovery.It can significantly reduce patients'negative emotions,improve their self-care ability,and enhance their postoperative quality of

关 键 词：认知行为护理 预防性护理 冠心病 PCI 情绪 自护能力 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病] R473.5[医药卫生—内科学]