摘要
目的探讨基于行为转变理论的健康指导结合正念音乐干预对体外冲击波碎石术患者恐惧情绪、心理弹性及应激反应的影响。方法选取2019年1月至2021年1月我院收治的90例行体外冲击波碎石术治疗的患者为研究对象,根据入院顺序将其分为对照组和观察组,各45例。对照组实施常规护理,观察组在对照组基础上应用基于行为转变理论的健康指导结合正念音乐干预。比较两组的干预效果。结果干预后,观察组的生理健康、社会家庭评分低于对照组(P<0.05)。干预后,观察组的坚韧、自强、乐观评分高于对照组(P<0.05)。干预后,观察组的皮质醇(Cor)及促血管生成素-Ⅱ(Ang-Ⅱ)水平低于对照组(P<0.05)。结论基于行为转变理论的健康指导结合正念音乐干预有助于改善体外冲击波碎石术患者恐惧情绪,提升心理弹性,减轻应激反应,值得推广。
Objective To explore the effects of health guidance based on behavioral change theory combined with mindfulness music intervention on fear,psychological resilience and stress response in patients undergoing extracorporeal shock wave lithotripsy.Methods A total of 90 patients who underwent extracorporeal shock wave lithotripsy in our hospital from January 2019 to January 2021 were selected as the research objects.According to the order of admission,the patients were divided into control group and observation group,with 45 cases in each group.The control group was given routine nursing,and the observation group was given health guidance based on behavioral change theory combined with mindfulness music intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the physiological health and social family scores of the observation group were lower than those of the control group(P<0.05).After intervention,the scores of tenacity,self-improvement and optimism in the observation group were higher than those in the control group(P<0.05).After intervention,the levels of cortisol(Cor)and angiopoietin-Ⅱ(Ang-Ⅱ)in the observation group were lower than those in the control group(P<0.05).Conclusion Health guidance based on behavioral change theory combined with mindfulness music intervention can help improve the fear of patients with extracorporeal shock wave lithotripsy,promote psychological resilience and reduce stress response.It is worth promoting.
作者
桂佳梅
高青
GUI Jiamei;GAO Qing(the First People's Hospital of Xianyang,Xianyang 712000,China)
出处
《临床医学研究与实践》
2023年第9期140-142,共3页
Clinical Research and Practice
关键词
行为转变理论
正念音乐
体外冲击波碎石术
恐惧情绪
心理弹性
应激反应
behavioral change theory
mindfulness music
extracorporeal shock wave lithotripsy
fear
psychological resilience
stress response
