萨提亚模式对冠心病支架植入患者术后恐惧疾病进展、应对方式及MACE风险的影响  

Influence of Satya Model on the fear of disease progression,coping style,and major adverse cardiovascular events risk of patients with coronary heart disease after stent implantation

作　　者：徐燕[1] 李丽莎 常维花 张洁[1] XU Yan;LI Li-sha;CHANG Wei-hua;ZHANG Jie(Department of Cardiovascular Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA)

机构地区：[1]郑州大学第一附属医院心血管内科,河南郑州450000

出　　处：《海南医学》2025年第3期431-436,共6页Hainan Medical Journal

基　　金：河南省医学科技攻关计划省部共建重点项目(编号:SBGJ202102153)。

摘　　要：目的探讨萨提亚模式对冠心病支架植入患者术后恐惧疾病进展、应对方式及主要不良心血管事件(MACE)风险的影响。方法选取2021年7月至2023年3月于郑州大学第一附属医院接受冠心病支架植入的患者136例,按随机数表法分为对照组观察组各68例。对照组患者进行常规护理,观察组患者在此基础上实施萨提亚模式护理,两组均干预5周。比较两组患者干预5周后MACE风险发生情况及护理满意度,干预5周后比较两组恐惧疾病进展简化量表(FoP-Q-SF)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、Jalowies应对方式量表(JCS)。结果观察组患者的MACE风险发生率为0,明显低于对照组的8.82%,差异有统计学意义(P<0.05);干预5周后,观察组患者的FoP-Q-SF、SAS、SDS评分分别为(16.09±3.95)分、(42.52±5.11)分、(43.27±4.62)分,明显低于对照组的(25.02±3.85)分、(50.39±5.16)分、(49.80±4.66)分,差异均有统计学意义(P<0.05);干预5周后,观察组患者的情感宣泄、乐观、寻求支持、面对等积极应对评分分别为(11.32±0.96)分、(19.44±1.15)分、(11.02±1.46)分、(21.29±1.44)分,明显高于对照组的(8.67±0.92)分、(14.51±1.11)分、(8.22±1.43)分、(16.37±1.48)分,自我依靠、听天由命、逃避、姑息等消极应对评分分别为(8.66±1.52)分、(4.14±0.68)分、(15.32±2.37)分、(8.63±1.07)分,明显低于对照组的(11.37±1.56)分、(5.86±0.64)分、(20.18±2.34)分、(11.41±1.03)分,差异均有统计学意义(P<0.05);观察组的护理满意度为98.53%,明显高于对照组的85.29%,差异有统计学意义(P<0.05)。结论将萨提亚模式应用于冠心病支架植入术后患者中能改善患者的负性情绪、恐惧疾病进展、应对方式,降低MACE风险,提高护理满意度。Objective To explore the impact of the Satya Model on the fear of disease progression,coping strategies,and the risk of major adverse cardiovascular events(MACE)in patients with coronary heart disease who underwent stent implantation.Methods A total of 136 patients who underwent stent implantation for coronary heart disease at the First Affiliated Hospital of Zhengzhou University from July 2021 to March 2023 were selected and divided into a control group and an observation group according to the random number table method,with 68 patients in each group.Patients in the control group received routine care,while those in the observation group received Satya Model nursing on the basis of the treatment in the control group.Both groups of patients were intervened for 5 weeks.The risk of MACE and satisfaction with nursing care were compared between the two groups after 5 weeks of intervention.After 5 weeks of intervention,the Fear of Progression-Quality of Life Short Form(FoP-Q-SF),Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS),and Jalowies Coping Style Scale(JCS)were compared between the two groups.Results The incidence of MACE in the observation group was 0,which was significantly lower than 8.82%in the control group(P<0.05).After 5 weeks of intervention,the scores of FoP-Q-SF,SAS,and SDS in the observation group were(16.09±3.95)points,(42.52±5.11)points,and(43.27±4.62)points,respectively,which were significantly lower than(25.02±3.85)points,(50.39±5.16)points,and(49.80±4.66)points in the control group(P<0.05).After 5 weeks of intervention,the scores for emotional catharsis,optimism,seeking support,and facing in the observation group were(11.32±0.96)points,(19.44±1.15)points,(11.02±1.46)points,and(21.29±1.44)points,respectively,which were significantly higher than(8.67±0.92)points,(14.51±1.11)points,(8.22±1.43)points,and(16.37±1.48)points in the control group;the scores for self-reliance,resignation,avoidance,and palliative care were(8.66±1.52)points,(4.14±0.68)points,(15.32±2.37)poi

关 键 词：萨提亚模式 冠心病 支架植入术 应对方式 不良事件 满意度 

分 类 号：R541.4[医药卫生—心血管疾病]