摘要
目的探讨问题导向模式下健康教育联合心理干预对老年冠心病心绞痛患者情绪状态、生活质量的影响。方法选择2020年1月—2023年6月中国人民解放军联勤保障部队第九六〇医院收治的92例老年冠心病心绞痛患者为研究对象,按随机数字表法分为对照组及观察组,每组46例。对照组采用常规基础护理,观察组采用问题导向模式下健康教育联合心理干预,均持续8周。比较两组患者的情绪状态、睡眠质量及生活质量。结果干预后,观察组的汉密顿焦虑量表、汉密顿抑郁量表评分均低于对照组,组间差异有统计学意义(P<0.05);观察组的匹兹堡睡眠指数量表评分为(7.75±1.03)分,低于对照组的(10.62±1.17)分,差异有统计学意义(P<0.05);观察组的生活质量综合评定问卷中各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论问题导向模式下健康教育联合心理干预可有效调节老年冠心病心绞痛患者的情绪状态,提高其睡眠质量及生活质量。
Objective To explore the effect of health education under problem-oriented mode combined with psychological intervention on emotional state and quality of life in elderly patients with coronary heart disease angina pectoris.Methods A total of 92 elderly patients with coronary heart disease and angina pectoris admitted to the 960th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China from January 2020 to June 2023 were selected as the research objects and were divided into a control group and an observation group by random number table,with 46 cases in each group.The control group was treated with routine basic nursing,and the observation group was treated with health education under problem-oriented mode combined with psychological intervention.Both groups continued the intervention for 8 weeks.The emotional state,sleep quality and quality of life of the two groups were compared.Results After intervention,the scores of Hamilton anxiety scale and Hamilton depression scale in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05);the Pittsburgh sleep quality index score of the observation group was(7.75±1.03)points,which was lower than(10.62±1.17)points of the control group,and the difference was statistically significant(P<0.05);the scores of all dimensions in the generic quality of life inventory-74 of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Health education under problem-oriented mode combined with psychological intervention can effectively regulate the emotional state of elderly patients with coronary heart disease and angina pectoris,improve their sleep quality and quality of life.
作者
董慧
DONG Hui(2nd Department of Cadre,the 960th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China,Jinan,250031,China)
出处
《反射疗法与康复医学》
2024年第17期187-190,共4页
Reflexology And Rehabilitation Medicine
关键词
冠心病心绞痛
问题导向模式下健康教育
心理干预
情绪状态
生活质量
Coronary heart disease angina pectoris
Health education urder problem-oriented mode
Psychological intervention
Emotional state
Quality of life
