合理信念替代疗法对冠心病患者心理弹性和自护能力的影响OA
Effect of rational belief replacement therapy on resilience and self-care ability in patients with coronary heart disease
目的:分析合理信念替代疗法对冠心病患者心理弹性和自护能力的影响.方法:按照入院顺序将某院2021年8月-2022年8月收治的102例冠心病患者分为对照组(n=51,常规干预)和干预组(n=51,常规干预+合理信念替代疗法);对比两组患者干预前后心理弹性[心理弹性量表(CD-RISC)]、自护能力[自我护理能力量表(ESCA)]、健康行为[健康促进生活方式量表Ⅱ(HPLP-Ⅱ)]、生活质量[西雅图心绞痛量表(SAQ)]及满意度.结果:干预后,两组CD-RISC量表坚韧、乐观、自强各维度得分及总分均升高(P＜0.05),且干预组均高于对照组(t=4.371,5.404,3.883,6.574;P＜0.05);干预后,两组ESCA量表中自我概念、健康知识水平、自我护理技能、自我护理责任感各维度得分及ESCA量表总分均高于干预前(P＜0.05),且干预组均高于对照组(t=7.252,3.908,5.848,5.643,10.496;P＜0.05);干预后,两组HPLP-Ⅱ量表人际关系、运动锻炼、自我实现、压力管理、健康责任、营养各维度得分及总分均高于干预前(P＜0.05),且干预组均高于对照组(t=2.624,3.883,3.378,3.642,3.610,2.828;P＜0.05);干预后,两组SAQ各维度评分均升高(P＜0.05),且干预组心绞痛稳定状况、疾病认知程度、治疗满意度、心绞痛发作频率、躯体受限程度五大维度评分较对照组高(t=2.122,2.340,3.699,2.976,2.766;P＜0.05);两组满意度比较,干预组为96.08％,高于对照组的84.31％(x2=3.991,P＜0.05).结论:对冠心病患者采用合理信念替代疗法效果显著,可增强患者心理弹性,提高自护能力、健康行为水平和生活质量,获得较高的满意度.
Objective:To analyze the effect of rational belief replacement therapy on resilience and self-care ability of patients with coronary heart disease.Methods:A total of 102 patients with coronary heart disease admitted to our hospital from August 2021 to August 2022 were divided into control group(n=51,routine intervention)and inter-vention group(n=51,routine intervention+rational belief replacement therapy)according to the order of admis-sion.Resilience scale(CD-RISC),self-care ability scale(ESCA),health behavior scale(HPLP-Ⅱ),quality of life scale(SAQ)and satisfaction were compared between the two groups before and after intervention.Results:After the intervention,the scores of tenacity,optimism and self-improvement of CD-RISC scale and the total score were in-creased in both groups(P＜0.05),and the scores in the intervention group were higher than those in the control group(t=4.371,5.404,3.883,6.574;P＜0.05).After intervention,the scores of self-concept,health knowledge,self-care skills,self-care responsibility and total score of ESCA in two groups were higher than those before interven-tion(P＜0.05),and the scores in intervention group were higher than those in control group(t=7.252,3.908,5.848,5.643,10.496;P＜0.05).After the intervention,the scores of interpersonal relationship,exercise,self-actualization,stress management,health responsibility and nutrition of HPLP-Ⅱ were higher than those before the intervention(P＜0.05),and the scores of intervention group were higher than those of control group(t=2.624,3.883,3.378,3.642,3.610,2.828;P＜0.05).After intervention,the scores of each dimension of SAQ in both groups were increased(P＜0.05),and the scores of angina stability,disease cognition,treatment satisfaction,angina attack frequency and body limitation in intervention group were higher than those in control group(t=2.122,2.340,3.699,2.976,2.766;P＜0.05).The satisfaction degree of the intervention group was 96.08％higher than that of the control group(84.31％)(X2=3.991,P＜0.05).Conclusion:RBT is effective for patients with coronary heart disease,which can en-hance their psychological resilience,improve their self-care ability,health behavior and quality of life,and obtain higher satisfaction.
赵锴;徐鑫;马海燕;张伟
河南省商丘市第一人民医院心内科 476100河南省人民医院超声科
基础医学
合理信念替代疗法冠心病心理弹性自护能力健康行为生活质量满意度
Rational belief replacement therapyCoronary heart diseaseMental resilienceSelf-care abilityHealth behaviorQuality of lifeSatisfaction
《中国健康心理学杂志》 2024 (004)
536-541 / 6
河南省科技攻关计划项目(编号:182102311221)
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