摘要
目的探讨心理行为轨迹记录法干预对冠心病合并2型糖尿病患者经皮冠状动脉介入术后心理应激、疾病管理能力及生活质量的影响。方法将择期行经皮冠状动脉介入术治疗的98例冠心病合并2型糖尿病患者按干预方法不同分为两组,观察组53例,对照组45例。两组均由同一团队医师行经皮冠状动脉介入术治疗,术后予以常规护理干预,观察组在此基础上予以心理行为轨迹记录法干预,观察3个月。比较两组围术期指标(住院时间、创口恢复时间、首次排便时间、下床活动时间)、并发生发生率。干预前后采用抑郁-焦虑-压力自评量表评定心理应激水平,健康素养管理量表评定疾病管理能力,生活质量指数量表评定生活质量。结果观察组住院时间显著短于对照组(P<0.01),下床活动时间显著早于对照组(P<0.01),两组创口恢复时间及首次排便时间比较差异无统计学意义(P>0.05)。干预后两组抑郁-焦虑-压力自评量表的抑郁、焦虑、压力维度评分均显著低于干预前(P<0.01),观察组显著低于对照组(P<0.01)。干预后观察组健康素养管理量表的信息获取能力、交流互动能力、改善健康意愿及经济支持意愿维度评分均显著高于干预前(P<0.01),且显著高于对照组(P<0.01),对照组仅信息获取能力、交流互动能力、改善健康意愿维度评分显著高于干预前(P<0.01)。干预后观察组生活质量指数量表的躯体功能、社会功能、心理健康、活力、情感角色、疼痛、躯体角色、整体健康维度评分均显著高于干预前(P<0.01),对照组仅躯体功能、社会功能、心理健康、活力、疼痛、躯体角色、整体健康维度评分显著高于干预前(P<0.05或0.01);干预后观察组除活力维度外,生活质量指数量表的躯体功能、社会功能、心理健康、情感角色、疼痛、躯体角色、整体健康维度评分均显著高于对照组(P<0.05或0.01)。观察组�
Objective To explore the effects of intervention with psychological behavior track recording method on psychological stress,disease management ability and quality of life in patients with coronary heart disease complicated with type 2 diabetes mellitus after percutaneous coronary intervention(PCI).Methods A total of 98 patients with coronary heart disease complicated with type 2 diabetes mellitus who underwent elective PCI were divided into two groups according to different intervention methods,53 cases in the observation group and 45 cases in the control group.Both groups were treated with PCI by the same team of physicians,and routine nursing intervention was given after operation.On the basis of this,the observation group was given intervention with psychological behavior track recording method for 3 months.The perioperative indicators(hospital stay,wound recovery time,first defecation time,ambulation time)and incidence rates were compared between the two groups.Before and after the intervention,the depression,anxiety and stress scale(DASS)was used to evaluate the level of psychological stress,the health literacy management scale(HeLMS)was used to evaluate the disease management ability,and the short form-36 health survey questionnaire(SF-36)was used to evaluate the quality of life.Results The hospital stay in the observation group was significantly shorter than that in the control group(P<0.01),and the ambulation time was significantly earlier than that in the control group(P<0.01).There were no statistical differences in the wound recovery time and first defecation time between the two groups(P>0.05).After the intervention,the dimension scores of depression,anxiety and stress of DASS in the two groups were significantly lower than those before the intervention(P<0.01),and that in the observation group was significantly lower than that in the control group(P<0.01).After the intervention,the dimension scores of information acquisition ability,communication and interaction ability,willingness to improve health,
作者
朱广辉
王俊霞
程峰
Zhu Guanghui;Wang Junxia;Cheng Feng(Zhengzhou First People's Hospital,Zhengzhou 450004,Henan,China)
出处
《临床心身疾病杂志》
CAS
2022年第2期139-143,共5页
Journal of Clinical Psychosomatic Diseases
基金
河南省医学科技攻关计划联合共建项目(编号LHGJ20210725)。
关键词
心理行为轨迹记录法
护理干预
冠心病
2型糖尿病
心理应激
疾病管理能力
生活质量
psychological behavior track recording method
nursing intervention
coronary heart disease
type 2 diabetes mellitus
psychological stress
disease management ability
quality of life
