归因心理调适结合微信平台护理在老年心脏瓣膜置换术患者中的应用研究  

Application of attributional psychological adjustment combined with WeChat platform nursing in elderly patients undergoing cardiac valve replacement surgery

作　　者：王安[1] 程燕[1] 黄春叶[1] 李杰[2] Wang An;Cheng Yan;Huang Chunye;Li Jie(Department of Cardiothoracic Surgery,Yixing People's Hospital,Wuxi 214200,China;Department of Neurology,Yixing People's Hospital,Wuxi 214200,China)

机构地区：[1]宜兴市人民医院心胸外科,无锡214200 [2]宜兴市人民医院神经内科,无锡214200

出　　处：《中华现代护理杂志》2025年第10期1380-1383,共4页Chinese Journal of Modern Nursing

摘　　要：目的分析归因心理调适结合微信平台护理在老年心脏瓣膜置换术患者中的应用效果。方法采用便利抽样法,选取2021年7月—2023年7月于宜兴市人民医院接受心脏瓣膜置换术的老年患者87例为研究对象,分为对照组(n=43)与干预组(n=44)。对照组采用常规护理,干预组在对照组的基础上采用归因心理调适结合微信平台护理干预。比较两组患者干预前后的归因方式问卷(ASQ)、心境状态量表(POMS)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分。结果干预后,干预组的ASQ正性事件、POMS积极情绪评分均高于对照组(P均<0.05);干预组的ASQ负性事件、POMS负性情绪、HAMA及HAMD评分均低于对照组(P均<0.05)。结论归因心理调适结合微信平台护理能够改善老年心脏瓣膜置换术患者的归因方式、缓解心境状态及减少负面情绪。Objective To analyze the application effect of attributional psychological adjustment combined with WeChat platform nursing on elderly patients undergoing cardiac valve replacement surgery.Methods A total of 87 elderly patients who underwent cardiac valve replacement surgery at Yixing People's Hospital from July 2021 to July 2023 were selected using convenience sampling.The patients were divided into a control group(n=43)and an intervention group(n=44).The control group received routine nursing care,while the intervention group received attributional psychological adjustment combined with WeChat platform nursing on top of routine care.The Attribution Style Questionnaire(ASQ),Profile of Mood States(POMS),Hamilton Anxiety Scale(HAMA),and Hamilton Depression Scale(HAMD)scores were compared before and after the intervention in both groups.Results After the intervention,the intervention group had significantly higher ASQ positive events and POMS positive mood scores than the control group(P<0.05).The intervention group had significantly lower ASQ negative events,POMS negative mood,HAMA,and HAMD scores than the control group(P<0.05).Conclusions Attributional psychological adjustment combined with WeChat platform nursing can improve the attribution style,alleviate mood status,and reduce negative emotions in elderly patients undergoing cardiac valve replacement surgery.

关 键 词：心脏瓣膜置换术 老年人 归因心理调适 干预 心境状态 

分 类 号：R47[医药卫生—护理学]