冠心病PCI患者疾病管理能力与负性情绪对创伤后成长的影响

Influence of Disease-management Ability and Negative Emotion on Post-traumatic Growth in PCI Patients with Coronary Heart Disease

目的:探讨冠心病经冠状动脉成形术(PCI)患者疾病管理能力与负性情绪对创伤后成长的影响。方法:应用自我管理行为量表(CSMS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及创伤后成长评定量表(PTGI),对80例冠心病PCI患者进行评定,并应用Pearson单因素分析患者疾病管理能力与负性情绪对其创伤后成长的影响。结果:冠心病PCI患者创伤后成长总分(58.25±5.12)分、SAS评分(60.12±5.02)分、SDS评分(59.02±4.78)分、自我管理行为总分(52.12±8.45)分;不同年龄、学历、病程、并发症及接受过疾病管理能力干预患者在疾病管理能力、负性情绪及创伤后成长等方面评分存在差异(P<0.05);经Pearson单因素分析,创伤后成长总分、人生感悟、个人力量、与他人关系、自我转变及新的可能性与SAS评分、SDS评分呈负相关(P<0.05),而与自我管理行为总评分、症状管理、情绪管理、急救管理、疾病认知管理、生活管理及治疗依从性呈正相关(P<0.05)。结论:冠心病PCI患者疾病管理能力较低,存在明显的焦虑、抑郁症状,因此,护士通过加强患者疾病管理行为教育,提高患者疾病管理能力,引导患者改善不良情绪,以促进患者术后成长。

Objective： To explore the effect of disease management ability and negative emotion on post-traumatic growth in PCI patients with coronary heart disease. Methods： A total of 80 PCI patients with coronary artery disease were assessed by coronary heart disease selfmanagement behavior scale（ CSMS）,Self-rating Anxiety Scale（ SAS）,Self-rating Depression Scale（ SDS） and Post-traumatic Growth Rating Scale（ PTGI）,and were assessed by the application of Pearson single factor analysis to analyze the influence of disease-management ability and negative emotions on post-traumatic growth of the patients. Results： The growth score of trauma patients with coronary heart disease after PCI was（ 58. 25 ± 5. 12） and SAS score was（ 60. 12 ± 5. 02）,SDS score was（ 59. 02 ± 4. 78）,self-management behavior score was（ 52. 12 ± 8. 45）. There was a statistically significant difference in scores about disease-management ability,negative emotion and post-traumatic growth patients with different age,different degree,detail duration,complications and whether the patients received the intervention of disease-management ability（ P〈0. 05）. By Pearson single factor analysis,the total score of post-traumatic growth,life perception,personal strength,relationship with others,self-change and new possibility were negatively correlated with SAS score and SDS score（ P〈0. 05）.There was a positive correlation between the total score of self-management behavior,symptom management,emotion management,emergency management,disease cognition management,life management and treatment compliance（ P〈0. 05）. Conclusion： The disease-management ability of PCI patients is low,and there are obvious symptoms of anxiety and depression. Therefore,nurses could strengthen the management of patients＇ disease behavior,improve the patients＇ disease management ability,and guide patients to improve their bad mood,so as to promote the postoperative growth of patients.