摘要
目的:探讨认知重构干预运用于冠心病患者对控制态度、心理状态和依从性的改善效果。方法:选择冠心病患者112例,根据随机数字表分为常规护理组、认知重构组,各56例。对比两组护理前后控制态度评分、心理状态变化和依从性情况。结果:与护理前及常规护理组护理后比较,认知重构组护理后控制态度评分显著提高[(26.51±2.04)分、(27.22±3.58)分比(31.96±3.13)分,P均=0.001];两组护理后Zung氏焦虑自评量表(SAS)评分、Zung氏抑郁自评量表(SDS)评分均显著低于护理前,且与常规护理组比较,认知重构组护理后SAS评分[(41.62±6.55)分比(35.02±4.31)分]、SDS评分[(48.24±7.32)分比(41.02±5.33)分]明显降低(P均<0.01);认知重构组治疗依从性明显优于常规护理组(96.43%比75.00%,P=0.003)。结论:认知重构干预运用于冠心病患者可明显改善控制力,缓解负面情绪,提高治疗依从性,值得推广。
Objective：To explore improving effect of cognitive restructuring intervention on control attitude,mental state and compliance in patients with coronary heart disease （CHD）.Methods：A total of 112 CHD patients were selected.Ac-cording to random number table,they were randomly and equally divided into routine nursing group and cognitive restructu-ring group.Control attitude score,mental state change and compliance were compared between two groups before and after nursing.Results：Compared with before nursing and routine nursing group after nursing,there was significant rise in control attitude score [（26.51±2.04）scores,（27.22±3.58）scores vs.（31.96±3.13）scores]in cognitive restructuring group, P =0.001 both;compared with before nursing,there were significant reductions in scores of Zung＇s anxiety self-rating scale （SAS）and Zung＇s depression self-rating scale （SDS）after nursing in both groups,and compared with routine nursing group after nursing,there were significant reductions in scores of SAS [（41.62±6.55）scores vs.（35.02±4.31）scores]and SDS[（48.24±7.32）scores vs.（41.02±5.33）scores]in cognitive restructuring group,P 〈0.01 all;therapeutic compliance of cognitive restructuring group was significantly better than that of routine nursing group （96.43% vs.75.00%,P =0.003）. Conclusion：Cognitive restructuring intervention can significantly improve control force,relieve negative emotions and im-prove therapeutic compliance in CHD patients,which is worth extending.
出处
《心血管康复医学杂志》
CAS
2017年第5期482-485,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
认知疗法
冠心病
护理
Cognitive therapy
Coronary disease
Nursing care
