摘要
目的探究基于双心医学的放松训练干预对冠心病经皮冠状动脉介入术(percutaneous coronary intervention,PCI)患者应对方式及自我效能感的影响。方法随机选取该院2018年6月—2020年6月收治的冠心病PCI患者300例,按照投掷法随机设为观察组(A组)151例与对照组(B组)149例。B组采取常规护理,A组在B组基础上采取基于双心医学的放松训练干预。观察并比较干预后两组自我效能感(GSES评分)、睡眠质量(PSQI评分)、应对方式(MCMQ评分)及生活质量。结果A组干预后GSES评分(31.24±2.35)分、PSQI评分(7.16±1.73)分,均优于B组GSES评分(27.18±3.21)分、PSQI评分(9.06±2.12)分,差异有统计学意义(t=12.511、8.510,P<0.05);A组干预后屈服(10.29±2.76)分、回避(6.74±1.81)分,均较B组的屈服(13.08±3.01)分、回避(9.39±2.35)分低,面对(25.86±2.41)分较B组的面对(22.12±2.94)分高,差异有统计学意义(t=8.369、10.951、12.057,P<0.05);A组干预后活力(75.42±7.14)分、精神健康(73.12±6.39)分、总体健康(73.69±5.85)分、躯体疼痛(74.62±6.48)分较B组活力(70.35±8.06)分、精神健康(69.28±7.11)分、总体健康(71.76±6.01)分、躯体疼痛(72.15±6.73)分高,差异有统计学意义(t=5.769、4.921、2.819、3.238,P<0.05)。结论对冠心病PCI患者采取基于双心医学的放松训练干预能有效改善患者应对方式,增强其自我效能感。
Objective To explore the effects of relaxation training intervention based on psycho-cardiology on coping styles and self-efficacy of patients with coronary heart disease undergoing percutaneous coronary intervention(PCI).Methods Randomly selected 300 PCI patients with coronary heart disease admitted to this hospital from June 2018 to June 2020 and randomly set as the observation group(group A)151 cases and the control group(group B)149 cases according to the throwing method.Group B took routine care,and group A took a relaxation training intervention based on double heart medicine on the basis of group B.The self-efficacy(GSES score),sleep quality(PSQI score),coping style(MCMQ score)and quality of life were observed and compared between the two groups after the intervention.Results GSES score(31.24±2.35)points and PSQI score(7.16±1.73)points after intervention in group A were better than group B GSES score(27.18±3.21)points,PSQI score(9.06±2.12)points,the difference was statistically significant(t=12.511,8.510,P<0.05);after intervention,group A had yield(10.29±2.76)points and avoidance(6.74±1.81)points,which were lower than group B's yield(13.08±3.01)points and avoidance(9.39±2.35)points,the face to face(25.86±2.41)points was higher than the face(22.12±2.94)points of group B,the difference was statistically significant(t=8.369,10.951,12.057,P<0.05);after intervention in group A,the score of vitality(75.42±7.14)points,mental health(73.12±6.39)points,overall health(73.69±5.85)points,pain(74.62±6.48)points was higher than that of group B for vitality(70.35±8.06)points,mental health(69.28±7.11)points,overall health(71.76±6.01)points,and physical pain(72.15±6.73)points,the difference was statistically significant(t=5.769,4.921,2.819,3.238,P<0.05).Conclusion The application of relaxation training intervention based on psycho-cardiology in PCI patients with coronary heart disease can effectively improve coping styles and enhance self-efficacy.
作者
陈桂春
CHEN Guichun(Department of Cardiovascular Internal Medicine,Quanzhou First Hospital,Quanzhou,Fujian Province,362214 China)
出处
《中外医疗》
2021年第27期135-138,143,共5页
China & Foreign Medical Treatment
基金
福建省自然科学基金资助项目(2018J01202)。
关键词
双心医学
冠心病
护理
经皮冠状动脉介入术
Psycho-cardiology
Coronary heart disease
Nursing
Percutaneous coronary intervention
作者简介
陈桂春(1983-),女,本科,主管护师,研究方向为心内科护理。
