摘要
目的探讨基于循证理论的个体化综合干预对冠心病PCI患者负性情绪、心脏康复认知及并发症的影响。方法采用随机数字表法将118例冠心病PCI患者分为观察组和对照组,每组59例,对照组实施常规护理,观察组以循证理论为指导实施个体化综合干预。分别在干预前后,采用汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评价两组患者心理状态;冠状动脉疾病知识量表(CADE-QⅡ)评价两组患者心脏康复认知水平;统计并比较两组并发症发生率。结果干预后,两组HAMA、HAMD评分均较干预前下降,且观察组HAMA、HAMD评分低于对照组(P<0.001)。干预后,观察组CADE-QⅡ量表总分及各维度得分均高于对照组(P<0.05)。观察组术后并发症总发生率低于对照组(χ^(2)=11.442,P<0.001)。结论基于循证理论的个体化综合干预可改善冠心病PCI患者负性情绪,提高心脏康复认知,降低术后并发症发生率。
Objective To investigate the effect of individualized comprehensive intervention based on evidence-based theory on negative emotions,cardiac rehabilitation cognition and complications in patients with coronary heart disease after PCI.Methods Using random number table method,118 patients with coronary heart disease PCI were divided into observation group and control group,59 cases in each group.Before and after the intervention,the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to evaluate the psychological state of the two groups;Coronary Artery Disease Knowledge Scale(CADE-Q II)was used to evaluate the cognitive level of cardiac rehabilitation in the two groups;Statistics and comparison of the incidence of complications between the two groups.Results After the intervention,the HAMA and HAMD scores of the two groups were decreased compared with those before the intervention,and the HAMA and HAMD scores of the observation group were significantly lower than those of the control group(P<0.001).After intervention,the total score and each dimension score of CADE-Q II in the observation group were higher than those in the control group(P<0.05).The total incidence of postoperative complications in the observation groupwas lower than the control group(χ^(2)=11.442,P<0.001).Conclusion Individualized comprehensive intervention based on evidence-based theory can improve the negative emotions of patients with coronary heart disease after PCI,improve the cognition of cardiac rehabilitation,and reduce the incidence of postoperative complications.
作者
白云艳
陈晗
鞠二琳
BAI Yunyan;CHEN Han;JU Erlin(Nanyang Central Hospital,Nanyang 473000,China)
出处
《中国全科医学》
北大核心
2023年第S01期73-75,共3页
Chinese General Practice
关键词
冠心病
PCI
循证理论
个体化综合干预
负性情绪
心脏康复认知
并发症
Coronary disease
PCI
Evidence-based theory
Individualized comprehensive intervention
Negative emotions
Cardiac rehabilitation cognition
Complications
