射频消融术患者焦虑水平与健康行为自我效能的相关性分析

Study on the correlation between anxiety and self-efficacy of health behavior for patients with radiofrequency catheter ablation

目的调查快速型心律失常行射频消融术患者的焦虑水平及健康行为自我效能水平,分析两者的相关性,为制订减轻患者焦虑水平及提高患者健康行为自我效能的护理方案提供依据。方法对2014年9月-2015年1月我院收治的120例快速型心律失常决定行射频消融术的术前患者采用焦虑自评量表及健康行为能力自评量表进行调查。结果快速型心律失常患者术前焦虑得分为(46.33±9.69)分,其中,无焦虑患者75例,轻度焦虑者37例,中、重度焦虑各4例;健康行为自我效能总得分为(58.50±21.75)分;文化程度、是否有工作及医疗保险对患者的焦虑水平及自我效能水平有影响,焦虑水平与健康行为自我效能总分及各维度得分呈中等程度负相关的关系(P<0.01)。结论医护人员应重视快速型心律失常患者术前知识宣教,提高患者的自我效能以降低其焦虑水平。

Objective To study the state of anxiety and self-efficacy of health behavior for tachyarrhythmia patients with radiofrequency catheter ablation and analyze the correlation between them,and to provide basis for the formulation of nursing program to reduce the anxiety level and improve the health behavior among these patients.Methods 120 patients with tachyarrhythmia and decided to take radiofrequency catheter ablation（RFCA）in our hospital were investigated with the self-rating anxiety scale（SAS）,self-rated abilities for health practices scale（SRAHP）from September 2014 to January 2015.Results The score of SAS was equal to 46.33±9.69,and 75 cases without anxiety,37 patients with mild anxiety,moderate and severe anxiety in every four people among 120 patients.The score of SRAHP was 58.50±21.75,which had moderate negative correlation with anxiety（r0,P〈0. 01）;The patient＇s level of anxiety and self-efficacy was effected by degree of education,Whether there is work and medical insurance.Conclusions The incidence of anxiety for tachyarrhythmia patients maintains a high level,and most of the patients are in a state of mild anxiety.The lower of the self-efficacy of health behavior is,the higher the level of anxiety is.In order to reduce the patients＇ anxiety and improve their self-efficacy,nurses should pay more attention to doing health education to tachyarrhythmia patients before operation.