双重差分法模型探讨简短认知行为压力管理对慢性心力衰竭患者益处发现及生活质量的动态效果  

Dynamic effects of brief cognitive-behavioral stress management on benefit finding and quality of life in chronic heart failure patients using a difference-in-differences model

作　　者：刘又萍 刘绍青 金锋 张利娟[4] LIU Youping;LIU Shaoqing;JIN Feng;ZHANG Lijuan(Department of Internal Medicine,South Hospital of Henan Chest Hospital,Zhengzhou 450000,China;Department of Cardiology,South Hospital of Henan Chest Hospital;The Second Department of Cardiovascular Heart Disease,Henan Chest Hospital(South Hospital);Department of Cardiology,The Second Affiliated Hospital of Zhengzhou University)

机构地区：[1]河南省胸科医院(南院区)内科,郑州450000 [2]河南省胸科医院(南院区)心血管内科 [3]河南省胸科医院(南院区)心血管内二科 [4]郑州大学第二附属医院心内科

出　　处：《中国健康心理学杂志》2025年第5期722-727,共6页China Journal of Health Psychology

基　　金：2021年度河南省医学科技攻关计划联合共建项目(编号:LHGJ20210412)。

摘　　要：目的:基于双重差分法(DID)模型探讨简短认知行为压力管理(CBSM)对慢性心力衰竭(CHF)患者益处发现及生活质量的动态效果。方法:选取2022年3月至2024年5月某院接诊的CHF患者90例,经抽签法随机分为对照组、试验组,各45例。对照组接受常规管理,试验组在对照组基础上增加简短CBSM。采用DID模型观察简短CBSM对CHF患者益处发现及生活质量的动态效果。结果:未加入控制变量前,DID单模型显示,试验组益处发现量表中文版(BFS-C)得分较干预前升高33.64,DID值为6.54,差异具有统计学意义(Z=2.321,P<0.001);试验组明尼苏达州心力衰竭生活质量问卷(MLHFQ)得分较干预前降低34.29,DID值为20.70,差异具有统计学意义(Z=4.456,P<0.001);在DID单模型中加入控制变量构建DID全模型,结果显示,BFS-C得分在组别、时间、组别·时间交互效应上差异均具有统计学意义(OR=3.541,2.307,3.026;P<0.001),MLHFQ得分在组别、时间、组别·时间交互效应上差异均具有统计学意义(OR=0.417,0.160,0.569;P<0.001)。结论:简短CBSM可有效改善CHF患者的益处发现及生活质量。Objective:To explore the dynamic effects of brief cognitive-behavioral stress management(CBSM)on benefit finding and quality of life in chronic heart failure(CHF)patients using a difference-in-differences(DID)model.Methods:Ninety CHF patients treated at theHenan Chest Hospital between March 2022 and May 2024 were randomly assigned to either the control or experimental group,with 45 patients in each.The control group received routine management,while the experimental group received brief CBSM in addition to routine management.The DID model was employed to observe the dynamic effects of brief CBSM on benefit finding and quality of life in CHF patients.Results:Before incorporating control variables,the DID single model showed that the Benefit Finding Scale-Chinese version(BFS-C)score in the experimental group increased by 33.64 post-intervention,with a DID value of 6.54,the difference was statistically significant(Z=2.321,P<0.001).The Minnesota Living with Heart Failure Questionnaire(MLHFQ)score decreased by 34.29,with a DID value of 20.70,the difference was statistically significant(Z=4.456,P<0.001).When control variables were included to construct the DID full model,BFS-C scores exhibited statistically significant differences in group,time,and group time interaction effects(OR=3.541,2.307,3.026;P<0.001).MLHFQ score had statistically significant differences in group,time,and group-time interaction effects(OR=0.417,0.160,0.569;P<0.001).Conclusion:Brief CBSM effectively enhances benefit finding and quality of life in CHF patients.

关 键 词：认知疗法 心力衰竭 益处发现 生活质量 

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