摘要
目的探讨叙事疗法在心房颤动射频消融术后患者中的应用效果。方法选择2019年7月至2020年8月江苏省人民医院收治的心房颤动射频消融术后患者85例,采用随机数字表法将其分为试验组和对照组,试验组43例、对照组42例。对照组给予常规健康教育及护理干预,试验组联合应用叙事疗法。随访6个月,比较两组疾病不确定感、健康相关生活及生活质量。结果随访6个月,两组不一致性、复杂性、不可预测性、疾病不确定感评分均低于干预前,且试验组低于对照组(P<0.05);两组遵医服药、定期监测、健康生活方式、健康相关行为评分高于干预前,且试验组高于对照组(P<0.05);两组生理维度、心理维度、性生活维度、生活质量评分高于干预前,且试验组高于对照组(P<0.05)。结论叙事疗法有助于缓解心房颤动射频消融术后患者疾病不确定,促进健康相关行为的养成,改善患者生活质量。
Objective To explore the application effect of narrative therapy in patients with atrial fibrillation after radiofrequency ablation.Methods A total of 85 patients after radiofrequency ablation of atrial fibrillation admitted to Jiangsu Province Hospital from July 2019 to August 2020 were selected.Using the random number table method,they were divided into treatment group and control group,43 cases in the treatment group and 42 cases in the control group.The control group was given regular health education and nursing intervention,and the treatment group was combined with narrative therapy.After six months follow-up,the two groups were compared with uncertainty in illness,health-related life and quality of life.Results After six months of follow-up,the scores of inconsistency,complexity,unpredictability,and disease uncertainty in two groups were lower than before those intervention,and those in treatment group were lower than those in control group(P<0.05);the scores of medication compliance,regular monitoring,healthy lifestyle,and health-related behavior in both groups were higher than those before intervention,and those in treatment group were higher than those in control group(P<0.05);the scores of physiological dimension,psychological dimension,sexual dimension,and quality of life of the two groups were higher than before intervention,and the treatment group was higher than the control group(P<0.05).Conclusion Narrative therapy can help relieve the uncertainty of patients after radiofrequency ablation of atrial fibrillation,promote the development of health-related behaviors,and improve the quality of life of patients.
作者
丁岚
王琳
来菊菊
DING Lan;WANG Lin;LAI Juju(Department of Cardiology,Jiangsu Province Hospital,Jiangsu Province,Nanjing 210000,China)
出处
《中国医药导报》
CAS
2022年第8期161-164,共4页
China Medical Herald
基金
江苏省研究生实践创新项目(SJCX190517)。
关键词
心房颤动
射频消融术
叙事疗法
疾病不确定感
健康相关行为
Atrial fibrillation
Radiofrequency ablation
Narrative therapy
Uncertainty in illness
Health-related behaviors
