目标管理理论干预对冠心病合并心衰患者心理负担和应对行为的影响OA
Effect of management by objectives theory intervention on psychological burden and coping behavior of patients with coronary heart disease complicated with heart failure
目的:分析目标管理理论干预对冠心病合并心衰患者心理负担和应对行为的影响.方法:将2021年3月-2023年3月某院收治的80例冠心病合并心衰患者随机分为两组.对照组40例采取常规临床干预,干预组40例予以目标管理理论的干预.比较两组干预前后的心理负担、自我管理行为及应对方式,评价两组的治疗依从性及生活质量.结果:干预后两组心理负担均减轻,且干预组的心理负担轻于对照组(Z=4.641,P＜0.05);干预后干预组的自我管理行为量表中日常生活管理行为、疾病医学管理行为、情绪认知管理评分均高于对照组(t=4.410,4.660,6.267,P＜0.05);干预后干预组的简易应对方式问卷(SCSQ)中积极应对评分高于对照组,消极应对评分低于对照组(t=5.505,-5.625,P＜0.05);干预组的治疗依从性优于对照组(x2=4.501,P＜0.05);干预后干预组的生活质量测定量表(WHOQOL-BREF)中各维度评分高于对照组(t=6.819,8.072,6.848,3.684,P＜0.05).结论:对冠心病合并心衰患者施于目标管理理论干预可有效减轻患者的心理负担,提升患者的自我管理行为,改善患者的应对方式,提高患者的治疗依从性及生活质量.
Objective:To analyze the effect of management by objectives theory intervention on psychological bur-den and coping behavior of patients with coronary heart disease complicated with heart failure.Methods:A tatal of 80 patients with coronary heart disease complicated with heart failure admitted to our hospital from March 2021 to March 2023 were randomly divided into two groups.The control group(n=40)was treated with routine clinical inter-vention,and the intervention group(n=40)was treated with management by objectives.The psychological burden,self-management behavior and coping style were compared between the two groups before and after the interven-tion,and the treatment compliance and quality of life were evaluated.Results:After intervention,the psychological burden of the two groups was reduced,and the psychological burden of the intervention group was lighter than that of the control group(Z=4.641,P＜0.05).After intervention,the scores of daily life management behavior,disease medical management behavior and emotion cognition management in the intervention group were higher than those in the control group(t=4.410,4.660,6.267;P＜0.05).After the intervention,the scores of SCSQ in the intervention group were higher than those in the control group,but the scores of SCSQ in the intervention group were lower than those in the control group(t=5.505,-5.625;P＜0.05).The treatment compliance of the intervention group was bet-ter than that of the control group(X2=4.501,P＜0.05).The scores of WHOQOL-BREF in the intervention group were higher than those in the control group(t=6.819,8.072,6.848,3.684;P＜0.05).Conclusion:The intervention of management by objectives theory can effectively reduce the psychological burden of patients with coronary heart dis-ease complicated with heart failure,enhance the self-management behavior of patients,improve the coping style of patients,and improve the treatment compliance and quality of life of patients.
张静;施梦丽
河南省南阳市中心医院心血管内科 473000郑州大学第二附属医院医学影像科
基础医学
冠心病心衰目标管理理论心理负担自我管理行为应对方式依从性生活质量
Coronary heart diseaseHeart failureManagement by objectivesPsychological burdenSelf-manage-ment behaviorCoping styleComplianceQuality of life
《中国健康心理学杂志》 2024 (004)
553-558 / 6
河南省计划和生育委员会(编号:182102310538)
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