互联网下快速康复理念干预对冠心病心绞痛患者心理状态的影响  

Effect of intervention based on the concept of rapid rehabilitation under the Internet on psychological state of patients with coronary heart disease and angina pectoris

作　　者：兰端云 韩景怡 孙军[2] 侯晓俊 乔树新[1] 高建步[4] LAN Duanyun;HAN Jingyi;SUN Jun;HOU Xiaojun;QIAO Shuxin;GAO Jianbu(Cardiovascular Interventional Surgery Room of Nanyang Central Hospital,Nanyang 473000,China;Neurointerventional Second Ward of Nanyang Central Hospital;Thoracic and Mediastinal Ward of Nanyang Central Hospital;Cardiovascular Arrhythmia Ward of Nanyang Central Hospital)

机构地区：[1]河南省南阳市中心医院心血管介入手术室,473000 [2]南阳市中心医院神经介入二病区 [3]南阳市中心医院胸外纵膈病区 [4]南阳市中心医院心血管内科心律失常病区

出　　处：《中国健康心理学杂志》2024年第9期1352-1357,共6页China Journal of Health Psychology

基　　金：2022年南阳市市级科技计划项目(编号:KJGG101)。

摘　　要：目的:探讨互联网下快速康复理念干预在冠心病心绞痛患者中的应用效果。方法:选取2023年1月至2024年1月某院收治的106例冠心病心绞痛患者,随机分成对照组与观察组,各53例。对照组予以常规干预,观察组予以移动互联网管理下联合快速康复理念干预,分析两组心理状况、希望水平、疾病自我管理及生活质量变化。结果:干预后,观察组汉密尔顿焦虑、抑郁量表得分均低于对照组,差异有统计学意义(t=4.244,4.892;P<0.05),Herth希望量表、西雅图心绞痛生活质量量表及心脏健康自我效能和自我管理量表各维度得分均高于对照组,差异有统计学意义(t=7.721,6.327,4.432,4.841,5.039,4.708,4.719,5.020,4.619,6.538,6.836,4.505,3.544,3.386;P<0.05)。结论:对冠心病心绞痛患者予以互联网下快速康复理念干预可有效改善患者心理状况,提高患者希望水平,促进疾病恢复,提升自我管理及自我效能感。Objective:To investigate the application effect of intervention based on the concept of rapid rehabilitation under the Internet in patients with coronary heart disease and angina pectoris.Methods:From January 2023 to January 2024,106 patients with coronary heart disease and angina pectoris admitted to the hospital were selected and randomly assigned to the control group and the observation group,with 53 cases in each group.The control group was given routine intervention,and the observation group was given intervention based on the concept of rapid rehabilitation under the management of mobile Internet.Changes in psychological state,hope level,self-management and quality of life of the two groups were analyzed.Results:After intervention,the Hamilton Anxiety Scale score and Hamilton Depression Scale score of the observation group were lower than those of the control group(t=4.244,4.892;P<0.05).The Herth Hope Index scores,Seattle Angina Questionnaire scores and Heart Health Self-Efficacy and Self-Management Scale scores in different dimensions were higher than those of the control group(t=7.721,6.327,4.432,4.841,5.039,4.708,4.719,5.020,4.619,6.538,6.836,4.505,3.544,3.386;all P<0.05).Conclusion:Applying intervention based on the concept of rapid rehabilitation under the Internet to patients with coronary heart disease and angina pectoris can effectively improve their psychological state and hope level,promote recovery,and enhance their self-management and self-efficacy.

关 键 词：互联网 快速康复理念 冠心病 心绞痛 心理状态 

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