急性冠脉综合征患者术后用药期间应用理性情绪行为疗法的效果  

Effect of Rational Emotive Behavior Therapy in Patients with Acute Coronary Syndrome During Postoperative Administration

作　　者：汤真[1] 张晓方[1] 邢妙莉 高明霞[1] TANG Zhen;ZHANG Xiaofang;XING Miaoli;GAO Mingxia(Department of Cardiovascular Medicine,the First Afliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan,China)

机构地区：[1]河南科技大学第一附属医院心血管内科,河南洛阳471000

出　　处：《中国药物滥用防治杂志》2024年第4期668-671,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关计划联合共建项目(编号:LHGJ20190555)。

摘　　要：目的:探讨理性情绪行为疗法(REBT)在急性冠脉综合征(ACS)术后用药期间的护理效果。方法:选取我院2021年1月—2023年1月收治的103例行经皮冠状动脉介入治疗(PCI)的ACS患者为研究对象,以随机数字表法将其分为常规组(n=51)和REBT组(n=52),常规组采用常规护理干预,REBT组采用常规护理+理性情绪行为疗法干预,连续干预4周,比较两组服药依从性、心境状态量表评分和自我管理能力评分。结果:REBT组服药总依从率为94.23%,高于常规组的78.43%(P<0.05);REBT组紧张、疲劳、抑郁、愤怒、慌乱评分均低于常规组,精力、自尊感评分均高于常规组(P<0.05);REBT组自我管理行为、自我管理环境和自我管理认知评分均高于常规组(P<0.05)。结论:REBT可提高ACS患者术后服药依从性,改善其不良心理状态,还可增强其自我管理能力,值得临床应用。Objective:To explore the nursing efect of rational emotive behavior therapy(REBT)in patients with acute coronary syndrome(ACS)during postoperative medication.Methods:A total of 103 patients with ACS who underwent percutaneous coronary intervention(PCI)in our hospital from January 2021 to January 2023 were selected as the research objects.They were divided into routine group(n=51)and REBT group(n=52)by random number table method.The routine group was treated with routine nursing intervention,and the REBT group was treated with routine nursing+rational emotional behavior therapy intervention for 4 weeks.The medication compliance,mood state scale score and self-management ability score were compared between the two groups.Results:The total medication compliance rate of the REBT group was 94.23%,which was higher than 78.43%of the conventional group(P<0.05).The scores of tension,fatigue,depression,anger and panic in the REBT group were lower than those in the routine group,and the scores of energy and self-esteem were higher than those in the routine group(P<0.05).The scores of self-management behavior,self-management environment and self-management cognition in the REBT group were higher than those in the conventional group(P<0.05).Conclusion:REBT can improve the postoperative medication compliance of ACS patients,improve their bad psychological state,and enhance their self-management ability,which is worthy of clinical application.

关 键 词：理性情绪行为疗法 急性冠脉综合征 服药依从性 心境状态 自我管理能力 

分 类 号：R473.5[医药卫生—护理学]