摘要
目的探讨团体咨询结合信息-动机-行为技巧(IMB)模型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.方法选取该院2019年9月—2021年6月收治的84例冠心病PCI术后患者为研究对象,按随机数字表法分为对照组与观察组,各42例.对照组采用常规护理,观察组在对照组基础上采用团体咨询结合IMB模型干预,均持续干预6个月.比较两组干预前后负面情绪、自我管理能力、心脏不良事件发生率.结果干预前,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、冠心病自我管理量表(CSMS)评分比较,组间差异无统计学意义(P>0.05).干预后,两组SAS评分、SDS评分均低于干预前,CSMS各领域评分均高于干预前,差异有统计学意义(P<0.05);观察组SAS评分、SDS评分分别为(39.62±3.70)分、(42.29±4.68)分,均低于对照组的(45.34±4.18)分、(47.20±5.05)分,CSMS中日常生活、疾病医学、情绪认知管理评分分别为(30.85±2.29)分、(58.32±6.44)分、(14.87±2.23)分,均高于对照组的(23.34±3.36)分、(45.56±5.18)分、(11.59±2.65)分,组间差异有统计学意义(P<0.05).观察组心脏不良事件发生率7.14%低于对照组的23.81%,差异有统计学意义(P<0.05).结论团体咨询结合IMB模型干预能够有效缓解冠心病PCI术后患者焦虑、抑郁情绪,提高自我管理能力,降低心脏不良事件发生率.
Objective To explore the application effect of group consultation combined with information-motivation-behavior skills(IMB)model in patients with coronary heart disease after percutaneous coronary intervention(PCI)surgery.Methods 84 patients with coronary heart disease after PCI surgery in the hospital from September 2019 to June 2021 as the research objects,and divided them into a control group and an observation group according to the random number table method,with 42 cases in each group.The control group received routine nursing,while the observation group received group counseling combined with IMB model intervention on the basis of the control group.Both groups continued to intervene for 6 months.The negative emotions,self-management ability before and after the intervention and the incidence of adverse cardiac events were compared between the two groups.Results Before intervention,there was no significant difference between the two groups in the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS)and coronary self-management scale(CSMS)(P>0.05).After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,and the CSMS scores in all areas were higher than those before the intervention,and the differences were statistically significant(P<0.05);the SAS score and SDS score of the observation group were(39.62±3.70)points and(42.29±4.68)points,respectively,which were lower than(45.34±4.18)points and(47.20±5.05)points of the control group,respectively,the scores of daily life,disease medicine,and emotional cognitive management in CSMS were(30.85±2.29)points,(58.32±6.44)points,and(14.87±2.23)points,respectively,were higher than(23.34±3.36)points,(45.56±5.18)points,(11.59±2.65)points of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of cardiac adverse events in the observation group was 7.14%,which was lower than 23.81%in the control group,and the difference was statistically significant(P<0.05).Conclusion Group counseling combined with IMB model intervention can effectively relieve anxiety and depression in patients with coronary heart disease after PCI surgery,improve self-management ability,and reduce the incidence of adverse cardiac events.
作者
英成艳
YING Chengyan(Department 1 and 3 of Cardiovascular Disease,Linyi Hospital of Traditional Chinese Medicine,Linyi Shandong,276000,China)
出处
《反射疗法与康复医学》
2022年第10期175-178,共4页
Reflexology And Rehabilitation Medicine
关键词
冠心病
经皮冠状动脉介入治疗
团体咨询
信息-动机-行为技巧模型
自我管理能力
Coronary heart disease
Percutaneous coronary intervention
Group consultation
Information-Motivation-Behavior skill model
Self management ability
作者简介
英成艳(1981-),女,山东临沂人,本科,主管护师,研究方向:心血管内科临床疾病诊治。
