摘要
目的:探讨动机性访谈(MI)联合心理干预对急性心肌梗死(AMI)患者自我感受负担及生活质量的影响。方法:将174例AMI患者按照随机数表法分为联合组和对照组各87例,对照组采取心血管内科常规护理与心理干预,联合组则在其基础上联合MI进行干预。于干预前及干预2周后比较两组自我感受负担[自我感受负担量表(SPB)]、陪护家属心理负担[Zarit照顾者负担量表(ZBI)]、生活质量[慢性病患者生命质量测定量表-冠心病(QLICD-CHD)]、心率变异性(HRV)参数[窦性心博R-R间期标准差(SDNN)、R-R间期超出50 ms的搏动次数占比(p NN50)]、自我管理能力[一般自我效能感量表(GSES)、冠心病患者自我管理行为量表(CSMS)]变化,分析干预2周内两组心血管不良事件发生情况。结果:干预2周后,两组、SPB评分及ZBI评分均低于干预前(P<0.05),且联合组明显低于同期对照组(P<0.05);干预2周后,两组QLICD-CHD、GSES、CSMS评分及SDNN、p NN50水平均较干预前有显著提升(P<0.05),且联合组明显高于同期对照组(P<0.05);联合组心血管不良事件发生率明显低于对照组(P<0.05)。结论:MI联合心理干预可显著缓解AMI患者自我感受负担,提升患者生活质量,有利于预后。
Objective： To investigate the effect of MI（ motivational interview） on the self-perceived burden and quality of life in patients with acute myocardial infarction（ AMI）. Methods： A total of 174 cases of AMI patients were randomly divided into the combination group and the control group with 87 cases in each group. The control group adopted routine nursing care and psychological intervention in cardiovascular medicine,while the combination group adopted MI intervention on the basis of the control group. Before the intervention and 2 weeks after the intervention,self-perceived burden [self-perception burden scale（ SPB） ],psychological burden of accompanying family members [Zarit caregiver burden inventory（ ZBI） ],the quality of life of patients [the coronary heart disease scale of the system of quality of life instruments for chronic disease（ QLICD-CHD） ],heart rate variability（ HRV） parameters [Sinus Cardiac R-R interval standard deviation（ SDNN）,R-R interval exceeds 50 ms beats ratio（ p NN50） ],and self management ability [general self-efficacy scale（ GSES） 、coronary ariery disease self-management scale（ CSMS） ]changes were compared between two groups and the incidence of two groups of cardiovascular adverse events in 2 weeks was analyzed. Results： 2 weeks after the intervention,the SPB and ZBI scores of two groups were significantly lower than those before the intervention（ P〈0. 05）,and the combination group＇ s were significantly lower than those of the control group（ P〈0. 05）. 2 weeks after the intervention,two groups＇ scores of QLICD-CHD,GSES,CSMS and the level of SDNN and p NN50 were significantly improved（ P〈0. 05）,and the combination group＇s were significantly higher than those in the control group（ P〈0. 05）. The incidence of adverse cardiovascular events in the combination group was significantly lower than that in the control group（ P〈0. 05）. Conclusion： MI combined psychological intervention can significantly alleviate t
出处
《齐鲁护理杂志》
2018年第5期4-7,共4页
Journal of Qilu Nursing
关键词
动机性访谈
心理干预
急性心肌梗死
自我感受负担
生活质量
Motivational interview
Psychological intervention
Acute myocardial infarction
Self-perceived burden
Quality of life
