二元应对在冠状动脉粥样硬化性心脏病患者及其配偶中的应用进展

Application progress of dyadic coping in patients with coronary atherosclerotic heart disease and their spouses

二元应对干预是解决冠状动脉粥样硬化性心脏病(以下简称冠心病)患者及其配偶,在慢病状态下长期照护双方心理问题的新方式。目前,二元应对在冠心病患者及其配偶干预的内容聚焦于沟通技能培训、共情能力培训、配偶参与式康复锻炼、健康膳食教育、积极心理干预五个方面。二元应对干预对改善冠心病患者及其配偶的自我管理能力、照顾负担、应对能力、心理状态和生活质量等具有一定的效益。

Dyadic coping intervention is a new way to solve the psychological problems of patients with coronary ath⁃erosclerotic heart disease(coronary heart disease)and their spouses under the condition of chronic disease.At present,the content of dyadic coping intervention in patients with coronary heart disease and their spouses focuses on five aspects:communication skills training,empathy ability training,spouse-participatory rehabilitation exercises,healthy diet educa⁃tion,and positive psychological intervention.The dyadic coping intervention has certain benefits in improving the self-management ability,caring burden,coping ability,psychological state and quality of life of patients with coronary heart disease and their spouses.