互动达标模式干预对缺血性心肌病患者负性情绪和健康行为的影响  

Effect of interactive goal-reaching intervention on negative emotion and health behavior in patients with ischemic cardiomyopathy

作　　者：李蕊[1] 袁冰[1] 李君 LI Rui;YUAN Bing;LI Jun(Nanyang City Central Hospital Cardiovascular Department,Nanyang 473005,China)

机构地区：[1]河南省南阳市中心医院心血管内科,473005

出　　处：《中国健康心理学杂志》2024年第8期1199-1203,共5页China Journal of Health Psychology

摘　　要：目的:探究互动达标模式干预对缺血性心肌病患者负性情绪和健康行为的影响。方法:将2020年5月-2022年7月某院收治的120例缺血性心肌病患者随机分为两组。对照组60例予以常规临床干预,干预组60例在对照组基础上予以互动达标模式干预。比较两组干预前后的负性情绪、健康行为、自护能力,评价两组的治疗依从性及生活质量。结果:干预后,干预组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组(t=-7.231,-9.451;P<0.05);干预后,干预组的健康促进生活量表(HPLP-Ⅱ)中人际关系、健康责任、压力管理、营养、体育运动、精神成长评分均高于对照组(t=9.801,8.168,8.590,10.423,8.449,8.765;P<0.05);干预后,干预组的自我护理能力量表(ESCA)中护理技能、自护责任感、自护知识、自我概念评分均高于对照组(t=7.819,8.116,10.147,13.442;P<0.05);干预组的治疗依从率高于对照组(χ^(2)=6.536,P<0.05);干预后,干预组的生活质量量表(WHOQOL-BREF)各维度评分均高于对照组(t=9.086,9.056,6.451,9.755;P<0.05)。结论:互动达标模式干预对缺血性心肌病患者的干预效果显著,能有效缓解患者的负性情绪,改善其健康行为,提升其自护能力及治疗依从性,有助于提高患者的生活质量。Objective:To explore the effect of interactive goal-reaching intervention on negative emotion and healthy behavior of patients with ischemic cardiomyopathy.Methods:From May 2020 to July 2022,120 patients with ischemic cardiomyopathy were randomly divided into two groups.The control group(n=60)was given routine clinical intervention,and the intervention group(n=60)was given interactive intervention based on the control group.The negative emotion,health behavior,self-care ability,treatment compliance and quality of life were compared between the two groups before and after intervention.Results:After intervention,the scores of SAS and SDS in the intervention group were lower than those in the control group(t=-7.231,-9.451;P<0.05).After intervention,the scores of interpersonal relationship,health responsibility,stress management,nutrition,physical exercise and spiritual growth in the intervention group were higher than those in the control group(t=9.801,8.168,8.590,10.423,8.449,8.765;P<0.05).After intervention,the scores of nursing skills,sense of responsibility,knowledge and self-concept in ESCA in the intervention group were higher than those in the control group(t=7.819,8.116,10.147,13.442;P<0.05).The compliance rate of the intervention group was higher than that of the control group(χ^(2)=6.536,P<0.05).After the intervention,the scores of WHOQOL-BREF in the intervention group were higher than those in the control group(t=9.086,9.056,6.451,9.755;P<0.05).Conclusion:The effect of the interactive model intervention on patients with ischemic cardiomyopathy is significant,which can effectively alleviate the negative emotions of patients,improve their health behavior,enhance their self-care ability and treatment compliance,and help to improve the quality of life of patients.

关 键 词：缺血性心肌病 互动达标模式 负性情绪 健康行为 自护能力 生活质量 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]