认知行为干预对冠脉介入术后患者自我效能的影响分析

Analysis of cognitive behavioral intervention on self-efficacy level in patients after percutaneous coronary intervention

【目的】探讨认知行为干预对冠脉介入术后患者自我效能的影响分析。【方法】选取于2012年1月至2015年1月间我院心内科确诊为冠心病并成功进行冠状动脉内支架植入术治疗的100例患者,采用便利抽样的方法选取符合纳入标准的80例,并按照随机数字表法分为实验组和对照组,每组40例,然后根据个人基本情况问卷、慢性病自我效能量表、冠心病知识问卷等工具测定两组患者干预前的基线水平,对照组给予常规护理干预,实验组在常规护理的基础上进行认知行为干预。干预3个月后,分别测定两组患者的生理指标、冠心病知识、自我效能等评分,并进行对比分析。【结果】干预前两组患者在文化水平、职业、家庭收入、吸烟情况、合并糖尿病等因素的差异无统计学意义(P>0.05)。干预3个月后,实验组患者的冠心病知识认知总分0.75±0.15、TG(1.78±0.87)mmol/L、FBG(6.54±2.13)mmol/L、自我效能总分7.65±0.67,与对照组相比,差异有统计学意义(P<0.05)。TG、FBG指标和冠心病认知水平等各项目分别与自我效能及其相应维度呈正相关(P<0.05)。【结论】认知行为干预能够提高冠脉介入术后患者的冠心病知识水平,提高患者战胜疾病的信心和自我效能水平,改善了患者的健康行为。

[Objective] To analyze the effect of cognitive behavioral intervention on self-efficacy level in patients after percutaneous coronary intervention. [ Methods ] From January 2012 to January 2015, 100 patients diagnosed coronary heart disease and successfully treated with coronary artery stent implantation were selected in cardiology department of our hospital. According to the inclusion crite- ria, 80 patients were chosen by convenience sampling method and randomly divided into experimental group （n=40） and control group （n=40）. Before the intervention, the two groups＇ baselines were established according to personal basic information questionnaire, self- efficacy scale for chronic diseases and coronary heart disease knowledge questionnaire. Patients in the control group were given conven- tional nursing intervention, while those in the experimental group were given extra cognitive behavioral intervention on the basis of con- ventional nursing. After 3 months, physiological indexes, coronary heart disease scores and self-efficacy scores of the two groups were respectively measured and analyzed. [ Results] Before the intervention, there was no statistical significance in the two groups in culture level, occupation, family income, smoking and diabetes mellitus （P〉0.05）. After 3 months＇ intervention, coronary heart disease knowl- edge score 0.60 ± 0.16, TG （1.78 ± 0.87） mmol/L, FBG （6.54 ± 2.13） mmol/L and self-efficacy score 7.65 ± 0.67 in the experimental group were significantly different from those in the control group （P〈0.05）. TG, FBG and coronary heart disease knowledge scores were positively correlated with self-efficacy and its corresponding dimensions respectively （P〈0.05）. [ Conclusion ] Cognitive behavioral in- tervention can enhance coronary heart disease knowledge level of patients after percutaneous coronary intervention and self-efficacy level to conquer the disease, and improve the patients＇ health behaviors.