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

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%(χ^(2)=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 intervention group(n=51,routine intervention+rational belief replacement therapy)according to the order of admission.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 increased 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 intervention(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-Ⅱwere 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%)(χ^(2)=3.991,P<0.05).Conclusion:RBT is effective for patients with coronary heart disease,which can enhance their psychological resilience,improve their self-care ability,health behavior and quality of life,and obtain higher satisfaction.