基于个体健康行为习惯重塑的整体干预在冠心病患者中的应用效果  

Application effect of holistic intervention based on reshaping individual health behavior habits in patients with coronary heart disease

作　　者：张宏莉 贾媛媛[1] 许淮豫 尹孜 ZHANG Hongli;JIA Yuanyuan;XU Huaiyu;YIN Zi(Department of Cardiology,Huaian First People’s Hospital,Jiangsu Province,Huaian 223300,China)

机构地区：[1]江苏省淮安市第一人民医院心内科,江苏淮安223300

出　　处：《中国医药导报》2024年第13期142-144,148,共4页China Medical Herald

基　　金：江苏省中医药科技发展计划项目(YB2020047)。

摘　　要：目的 探讨冠心病患者应用基于个体健康行为习惯重塑的整体干预的效果。方法 选取2020年9月至2022年9月江苏省淮安市第一人民医院收治的120例冠心病患者,采用随机数字表法将其分为两组,各60例。对照组采用常规护理,观察组采用常规护理+基于个体健康行为习惯重塑的整体干预。两组均给予持续干预3个月。比较两组干预前后心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、匹兹堡睡眠质量指数(PSQI)评分。比较两组干预后自我管理能力评分、遵医行为,干预前后冠心病知识评分、自我效能感评分。结果 干预后,两组SAS、SDS、PSQI评分均低于干预前,且观察组低于对照组(P<0.05)。观察组自我管理能力各项评分均高于对照组(P<0.05)。干预后,观察组遵医行为评分高于对照组,两组冠心病知识评分、自我效能感评分均高于干预前,且观察组高于对照组(P<0.05)。结论 基于个体健康行为习惯重塑的整体干预应用于冠心病患者中可有效改善心理状态和睡眠质量,提高冠心病知识掌握度、自我效能、遵医行为及自我管理能力。Objective To explore the effect of holistic intervention based on reshaping individual health behavior habits in patients with coronary heart disease.Methods A total of 120 patients with coronary heart disease admitted to the Huaian First People's Hospital,Jiangsu Province from September 2020 to September 2022 were selected and they were divided into two groups,with 60 cases in each group by random number table method.The control group received routine care,and the observation group received routine care plus holistic intervention based on individual health behavior and habit.Both groups were given intervention lasting three months.The scores of mental states(self-rating anxiety scale [SAS] and self-rating depression scale [SDS]),Pittsburgh sleep quality index(PSOI) before and after intervention were compared between the two groups.The score of self-management ability,compliance behavior,coronary heart disease knowledge score,and self-efficacy score before and after intervention were compared between the two groups.Results After intervention,the scores of SAS,SDS and PSQI in both groups were lower than those before intervention,and the observation group was lower than the control group(P<0.05).The scores of self-management ability in the observation group were higher than those in the control group(P<0.05).After intervention,the compliance behavior score of the observation group was higher than that of the control group,and the coronary heart disease knowledge score and self-efficacy score of the two groups were higher than those before intervention,and the observation group were higher than those of the control group(P<0.05).Conclusion The overall intervention based on reshaping individual health behavior habits could effectively improve the psychological state and sleep quality of patients with coronary heart disease,enhance their mastery of coronary heart disease knowledge,self-efficacy,compliance behavior,and self-management ability.

关 键 词：冠心病 个体健康行为习惯 自我管理能力 

分 类 号：R541.4[医药卫生—心血管疾病]