行为阶段-交谈方式对应的心理引导对经皮冠状动脉介入(PCI)手术患者病情进展恐惧的影响  

Effect of coping psychological guidance based on behavior stage-conversation style on patients'fear of disease progress after PCI operation

作　　者：胡圆圆 佘淑铭 HU Yuanyuan;SHE Shuming(Interventional Operating Room of Henan Chest Hospital South Campus,Zhengzhou 450000,China)

机构地区：[1]河南省胸科医院南院区介入手术室(郑州),450000

出　　处：《中国健康心理学杂志》2024年第9期1386-1390,共5页China Journal of Health Psychology

摘　　要：目的:探究基于行为阶段-交谈方式对应(behavior stage-conversation mode corresponding,BM-CMC)的心理引导对经皮冠状动脉介入(PCI)手术患者病情进展恐惧的影响。方法:根据干预方法不同将某院自2022年1月至2023年6月收治的75例行PCI手术患者分为观察组(38例)和对照组(37例)。对照组接受常规PCI手术护理干预,观察组在对照组基础上接受基于BM-CMC的应式心理引导干预,比较两组患者行为改变情况、自我管理情况、心理弹性、疾病进展恐惧情况。结果:干预后,观察组患者健康行为问卷中的饮食、运动、吸烟、饮酒、定期复查评分均高于对照组(t=3.112,2.409,3.489,2.195,2.598;P<0.05);观察组冠心病自我管理量表中的日常生活管理、疾病医学管理、情绪认知管理评分均高于对照组(t=4.360,5.774,5.310;P<0.05);观察组心理弹性量表中的乐观、坚韧、自强评分均高于对照组(t=7.635,8.149,10.859;P<0.05);出院2个月后,观察组疾病进展恐惧简化量表(FoP-Q-SF)中的生理健康、社会家庭评分及总分均低于对照组(t=12.313,11.204,20.821;P<0.05)。结论:基于BM-CMC的心理引导干预PCI手术患者能有效提高患者健康行为、自我管理能力以及心理弹性,从而有效降低患者疾病进展恐惧。Objective:To explore the effect of coping psychological guidance based on behavior stage-conversation mode corresponding(BM-CMC)on patients'fear of disease progression after percutaneous coronary intervention(PCI).Methods:According to different intervention methods,75 patients who underwent PCI in our hospital from January 2022 to June 2023 were divided into observation group(38 cases)and control group(37 cases).The control group received routine PCI operation nursing intervention,and the observation group received psychological guidance intervention based on BM-CMC on the basis of the control group.The behavior change,self-management,resilience and fear of disease progression were compared between the two groups.Results:After the intervention,the scores of diet,exercise,smoking,drinking and periodic review in the observation group were higher than those in the control group(t=3.112,2.409,3.489,2.195,2.598;P<0.05).The scores of daily life management,disease medical management and emotional cognitive management in the observation group were higher than those in the control group(t=4.360,5.774 and 5.310;P<0.05).The scores of optimism,tenacity and self-improvement in the observation group were higher than those in the control group(t=7.635,8.149,10.859;P<0.05).Two months after discharge,the physical health,social family score and total score in the observation group were lower than those in the control group(t=12.313,11.204,20.821;P<0.05).Conclusion:The intervention of psychological guidance based on BM-CMC can effectively improve patients'health behavior,self-management ability and psychological resilience,thus effectively reducing patients'fear of disease progression.

关 键 词：经皮冠状动脉介入 行为阶段-交谈方式对应 心理引导 病情进展恐惧 

分 类 号：R395.5[哲学宗教—心理学]