认知行为护理在冠心病PCI术后患者中的应用效果  

Application effects of cognitive behavioral nursing in patients with coronary heart disease after PCI

作　　者：吴迪 王燕 张佳雪 WU Di;WANG Yan;ZHANG Jiaxue(Department of Cardiology of Zhengzhou Second Hospital,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州市第二人民医院心内科,河南郑州450000

出　　处：《中国民康医学》2025年第3期170-172,176,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察认知行为护理在冠心病经皮冠状动脉介入治疗(PCI)术后患者中的应用效果。方法:选取2020年1月至2023年1月该院收治的84例冠心病PCI术后患者进行前瞻性研究,根据随机数字表法将其分为对照组与观察组各42例。对照组给予常规康复护理,观察组在对照组基础上给予认知行为护理,比较护理前后心肺耐力指标[氧脉搏(O_(2)/HR)、每公斤体质量最大摄氧量(VO_(2)max/kg)、无氧阈(AT)、摄氧量增量/功率增量(△VO_(2)/△WR)]水平、自我管理能力[冠心病自我管理量表(CSMS)]评分和疾病认知程度评分。结果:护理后,两组O_(2)/HR、VO_(2)max/kg、AT水平均高于护理前,且观察组高于对照组,两组△VO_(2)/△WR水平均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组日常生活管理、疾病医学管理、情绪认知管理等CSMS评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组冠心病相关知识、各种疾病对冠心病的影响、药物治疗、不良生活方式对冠心病影响、自我救护方法、定期复查的重要性等疾病认知程度评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规康复护理基础上采用认知行为护理可提高冠心病PCI术后患者自我管理能力和疾病认知程度评分,以及改善心肺耐力指标水平的效果优于单纯常规康复护理。Objective:To observe application effects of cognitive behavioral nursing in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods:A prospective study was conducted on 84 patients with coronary heart disease after PCI admitted to this hospital from January 2020 to January 2023.According to the random number table method,they were divided into control group and observation group,42 cases in each group.The control group was given routine rehabilitation nursing,while the observation group was given the cognitive behavioral nursing on the basis of that of the control group.The cardiopulmonary endurance indexes[oxygen pulse(O_(2)/HR),maximal oxygen consumption per kg body weight(VO_(2)max/kg),anaerobic threshold(AT),oxygen uptake increment/power increment(ΔVO_(2)/ΔWR)]levels,the self-management ability[coronary heart disease self-management behavior scale(CSMS)]score,and the disease cognition score were compared between the two groups before and after the nursing.Results:After the nursing,the levels of O_(2)/HR,VO_(2)max/kg and AT in the two groups were higher than those before the nursing,and those in the observation group were higher than those in the control group;the levels ofΔVO_(2)/ΔWR in the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).After the nursing,the CSMS scores of daily life management,disease medical management and emotional cognitive management in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the scores of coronary heart disease related knowledge,the influence of various diseases on coronary heart disease,drug treatment,the influence of bad lifestyle on coronary heart disease,selfrescue methods,the importance of regular review and other disease cognition s

关 键 词：认知行为护理 冠心病 心肺耐力 自我管理能力 疾病认知程度 

分 类 号：R541.4[医药卫生—心血管疾病]