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心理护理及健康教育对冠心病合并抑郁焦虑情绪患者的影响效果分析

  • 弓华

* 通信作者: 弓华, 单位:南省胸科医院 心外科

摘要


目的:探讨罹患冠心病且有抑郁焦虑情绪合并发生的患者重视开展心理疏导及健康教育干预对预后影响。

方法:选取罹患冠心病且有抑郁焦虑情绪合并发生的患者100例,均为我院心血管内科2017年4月至2019年4月期间收治,应用随机数字表抽取法分组,就重视开展心理疏导及健康教育干预(观察组,n=50)与施以常规护理(对照组,n=50)认知及自我效能评分、焦虑及抑郁评分、心功能指标水平、生活质量评分展开对比。

结果:两组干预前,认知评分、自我效能评分经测验无差异(P>0.05),干预后,各测定值均有提升,观察组提升程度较对照组更为显著,差异具有统计学意义(P<0.05)。两组干预前,HAMA评分、HAMD评分经测验无差异(P>0.05),干预后,各测验值均有降低,且观察组降低程度较对照组更为显著,差异具有统计学意义(P<0.05)。两组干预前,心功能指标BNP、LVEF经测定无差异(P>0.05),干预后,BNP均有降低,LVEF均有升高,观察组降低和升高程度更为明显,差异具有统计学意义(P<0.05)。两组干预前,ADL评分经测验无差异(P>0.05),干预后,测定值明显提升,观察组提升程度更为显著,差异具有统计学意义(P<0.05)。

结论:罹患冠心病且有抑郁焦虑情绪合并发生的患者重视开展心理疏导及健康教育干预,可提升认知水平,增强自我效能感,消除负性情绪,增强心功能,提高生活质量,开展价值十分突出。

关键词:冠心病合并抑郁;心理护理;健康教育;认知度;自我效能;心理状况

ABSTRACT


Objective: To explore the effect of psychological counseling and health education intervention on prognosis of patients with coronary heart disease and depression and anxiety.

Methods: 100 patients with coronary heart disease and depression and anxiety were selected. They were all treated in our cardiovascular department from April 2017 to April 2019. Random number table extraction method was used to divide them into two groups. Psychological counseling and health education intervention (observation group, n=50) and routine nursing (control group, n=5) were emphasized. 0) Cognitive and self-efficacy score, anxiety and depression score, cardiac function index level and quality of life score were compared.

Results: Before the intervention, there was no difference in cognitive score and self-efficacy score between the two groups (P > 0.05). After the intervention, all the measured values were improved. The improvement degree of the observation group was more significant than that of the control group, and the difference was statistically significant (P < 0.05). Before the intervention, there was no difference in HAMA score and HAMD score between the two groups (P > 0.05). After the intervention, the values of each test decreased, and the degree of reduction in the observation group was more significant than that in the control group, the difference was statistically significant (P < 0.05). Before the intervention, there was no difference in BNP and LVEF between the two groups (P > 0.05). After the intervention, BNP decreased and LVEF increased. In the observation group, the degree of decrease and increase was more obvious, and the difference was statistically significant (P < 0.05). Before intervention, there was no difference in ADL score between the two groups (P > 0.05). After intervention, the measured value increased significantly, and the degree of improvement in the observation group was more significant, with statistical significance (P < 0.05).

Conclusion  : Psychological counseling and health education intervention can improve cognitive level, enhance self-efficacy, eliminate negative emotions, enhance heart function, improve quality of life and carry out value for patients with coronary heart disease and depression and anxiety.

Key words: coronary heart disease with depression; psychological nursing; health education; cognitive level; self-efficacy; psychological status

引用本文 / How to Cite This Article

弓华.心理护理及健康教育对冠心病合并抑郁焦虑情绪患者的影响效果分析[J]. 国际精神病学杂志, 2020, 47(1): 177-180

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