摘要
目的探讨PRECEDE模式结合团体积极心理干预对慢性心力衰竭患者应对方式及心理弹性的影响。方法选取我院2016年5月至2018年5月收治的60例慢性心力衰竭患者进行观察,采用数字表法将其随机分为对照组和观察组,各30例,对照组采用常规护理模式,观察组在此基础上加用PRECEDE模式结合团体积极心理干预。观察比较两组患者干预前、后的应对方式、心理弹性及生活质量。结果干预后,观察组的面对评分高于对照组,回避和屈服评分低于对照组(P<0.05)。干预后,观察组的坚韧、自强、乐观各项评分均明显高于对照组(P<0.05)。干预后,观察组的身体、情绪、其他各项评分均低于对照组(P<0.05)。结论临床对慢性心力衰竭患者护理时采用PRECEDE模式结合团体积极心理干预能够有效改善患者的应对方式和心理弹性,促进患者生活质量的有效提高,值得推广。
Objective To explore the effects of PRECEDE mode combined with group positive psychological intervention on coping style and psychological resilience of patients with chronic heart failure. Methods A total of 60 patients with chronic heart failure admitted in our hospital from May 2016 to May 2018 were selected and randomly divided into control group and observation group by digital table method, with 30 cases in each group. The control group was given the routine nursing mode, and the observation group was given the PRECEDE mode combined with group positive psychological intervention on the basis. The coping style, psychological flexibility and quality of life of the two groups before and after intervention were observed and compared. Results After intervention, the face score in the observation group was higher than that in the control group, and the avoidance and yield scores were lower than those in the control group(P<0.05). After intervention, the scores of tenacity, self-improvement and optimism in the observation group were significantly higher than those in the control group(P<0.05). After intervention, the physical, emotional and other scores in the observation group were lower than those in the control group(P<0.05). Conclusion The clinical use of PRECEDE mode combined with group positive psychological intervention in patients with chronic heart failure can effectively improve the coping style and psychological flexibility of patients, and promote the effective improvement of patients’ quality of life, which is worth promoting.
作者
温益婷
WEN Yi-ting(Traditional Chinese Medicine Hospital of Huyi District,Xi'an 710000,China)
出处
《临床医学研究与实践》
2020年第2期178-180,共3页
Clinical Research and Practice
