叙事护理结合团体认知行为干预对心脏瓣膜置换术患者的影响  

Effect of Narrative Nursing Combined with Group Cognitive Behavioral Intervention on Patients Undergoing Heart Valve Replacement

作　　者：代建娇 刘露 DAI Jianjiao;LIU Lu(Dangyang People's Hospital,Dangyang 444100,China;不详)

机构地区：[1]当阳市人民医院,湖北当阳444100

出　　处：《中外医学研究》2024年第10期73-76,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨叙事护理结合团体认知行为干预对心脏瓣膜置换术患者的影响。方法:选取2022年1月—2023年1月在当阳市人民医院心胸外科行心脏瓣膜置换术患者140例,根据随机数表法分为观察组和对照组,各70例。对照组给予常规健康教育,观察组在对照组的基础上给予叙事护理结合团体认知行为干预。比较两组干预前后的自我感受负担、自我效能、心理复原力、心理痛苦和自我管理能力。结果:干预前,两组自我感受负担、自我效能、心理复原力、心理痛苦和自我管理能力比较,差异无统计学意义(P>0.05);干预后,观察组身体负担、情感负担评分及总分均低于对照组,差异有统计学意义(P<0.05);干预后,观察组心理痛苦评分低于对照组,自我效能、心理复原力和自我管理能力评分高于对照组,差异有统计学意义(P<0.05)。结论:叙事护理结合团体认知行为干预可提高心脏瓣膜置换术患者的自我效能、心理复原力和自我管理能力,降低自我感受负担和心理痛苦程度。Objective:To explore the effect of narrative nursing combined with group cognitive behavior intervention on patients with heart valve replacement.Method:A total of 140 patients undergoing heart valve replacement in the Department of Cardiothoracic Surgery of Dangyang People's Hospital from January 2022 to January 2023 were selected and they were divided into observation group and control group according to random number table method,with 70 patients in each group.The control group was given routine health education,and the observation group was given narrative nursing combined with group cognitive behavior intervention on the basis of the control group.The self-perceived burden,self-efficacy,psychological resilience,psychological pain and self-management ability of the two groups before and after the intervention were compared.Result:Before intervention,there were no significant differences in self-perceived burden,self-efficacy,psychological resilience,psychological pain and self-management ability between the two groups(P>0.05).After intervention,the physical burden,emotional burden score and total score of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of psychological pain in the observation group were lower than those in the control group,and the scores of self-efficacy,psychological resilience and self-management ability were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Narrative nursing combined with group cognitive behavior intervention can improve the self-efficacy,psychological resilience and self-management ability of heart valve replacement patients,and reduce the degree of self-perceived burden and psychological pain.

关 键 词：叙事护理 团体认知行为疗法 心脏瓣膜置换术 自我感受负担 

分 类 号：R473.6[医药卫生—护理学]