归因心理调适对冠心病经皮冠状动脉介入治疗术后患者心理韧性及自我效能的影响  

Effect of attribution psychological adjustment on psychological resilience and self-efficacy of patients with coronary heart disease after PCI surgery

作　　者：李瑞盈 杨艳杰 王宁[2] 王艳[1] LI Ruiying;YANG Yanjie;WANG Ning;WANG Yan(Cardiovascular Department of Henan Chest Hospital,Zhengzhou 450003,China;Tuberculosis Department of Henan Provincial Chest Hospital)

机构地区：[1]河南省胸科医院心血管内科(郑州),450003 [2]河南省胸科医院结核病科

出　　处：《中国健康心理学杂志》2025年第1期61-65,共5页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划项目(编号:LHG20200212)。

摘　　要：目的:探讨归因心理调适对冠心病经皮冠状动脉介入治疗(PCI)术后患者心理韧性及自我效能的影响。方法:选取2022年1月-2023年12月在某院进行治疗的120例冠心病PCI术后患者,随机分为研究组和对照组,各60例,对照组进行常规PCI术后干预,研究组在对照组基础上给予归因心理调适干预。记录并分析两组患者干预前后心理韧性(心理韧性量表CD-RISC)、自我效能(自我效能感量表GSES)、负面情绪汉密尔顿焦虑量表HAMA和郁量表HAMD、生活质量(西雅图心绞痛调查量表SAQ)以及治疗依从性。结果:与对照组比较,研究组干预后的CD-RISC各维度评分明显较高(t=3.629,3.091,4.536,5.900;P<0.001),GSES评分明显较高(t=12.220,P<0.001),HAMA和HAMD评分明显较低(t=5.381,4.856;P<0.001),SAQ各维度评分明显较高(t=6.905,4.094,5.371,9.368,5.881;P<0.001),治疗依从性较高(χ^(2)=7.212,P=0.007)。结论:归因心理调适能有效提高冠心病PCI术后患者的心理韧性、自我效能、生活质量和治疗依从性,降低负面情绪。Objective:To explore the effect of attribution psychological adjustment on the psychological resilience and self-efficacy of patients with coronary artery disease after percutaneous coronary intervention(PCI).Methods:A total of 120 patients with coronary heart disease who underwent PCI in our hospital from January 2022 to December 2023 were randomly divided into a study group and a control group,with 60 patients in each group.The control group received routine PCI postoperative intervention,while the study group received attribution psychological adjustment intervention on the basis of the control group.Record and analyze the psychological resilience(CD-RISC),self-efficacy(GSES),negative emotions(Hamilton Anxiety Scale HAMA and Depression Scale HAMD),quality of life(Seattle Angina Questionnaire SAQ),and treatment compliance of two groups of patients before and after intervention.Results:Compared with the control group,the intervention group showed significantly higher scores in all dimensions of CD-RISC(t=3.629,3.091,4.536,5.900;P<0.001),significantly higher GSES scores(t=12.220,P<0.001),significantly lower HAMA and HAMD scores(t=5.381,4.856;P<0.001),significantly higher scores in all dimensions of SAQ(t=6.905,4.094,5.371,9.368,5.881;P<0.001),and higher treatment compliance(χ^(2)=7.212,P=0.007).Conclusion:Attribution psychological adjustment can effectively improve the psychological resilience,self-efficacy,quality of life,and treatment compliance of patients with coronary heart disease after PCI,and reduce negative emotions.

关 键 词：冠心病 经皮冠状动脉介入治疗 归因心理调适 心理韧性 自我效能 

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