AIDET沟通模式结合接纳承诺疗法对经皮冠状动脉支架植入术患者的影响

Effect of AIDET communication mode combined with acceptance commitment therapy on patients undergoing percutaneous coronary stenting

目的 探讨AIDET沟通模式结合接纳承诺疗法对经皮冠状动脉支架植入术患者的影响。方法选取2019年6月至12月于新疆医科大学第一附属医院行经皮冠状动脉支架植入术的患者65例作为研究对象,按随机数字表法将患者分成对照组(32例)和观察组(33例)。对照组给予常规心理护理及宣教,观察组以AIDET沟通模式结合接纳承诺疗法干预。比较两组干预前及干预6周后的心理灵活性水平、焦虑抑郁程度、自我管理能力。记录两组干预6个月后的不良心血管事件发生情况。结果 干预后,两组接纳与行动问卷总分、医院焦虑抑郁量表总分及焦虑亚量表、抑郁亚量表评分均低于干预前,且观察组低于对照组(P<0.05)。两组日常生活能力、疾病知识、遵医行为、急救知识、情绪管理评分及自我管理能力总分均高于干预前,且观察组高于对照组(P<0.05)。观察组6个月后的不良心血管事件发生率低于对照组(P<0.05)。结论 AIDET沟通模式结合接纳承诺疗法可提高经皮冠状动脉支架植入术患者的心理灵活水平,降低其焦虑抑郁程度,提高其自我管理能力,降低不良心血管事件的发生率,值得临床推广。

Objective To investigate the effect of AIDET communication mode combined with acceptance commitment therapy on patients undergoing percutaneous coronary stenting.Methods A total of 65 patients underwent percutaneous coronary stenting in the First Affiliated Hospital of Xinjiang Medical University from June to December 2019 were selected as the research subjects,and the patients were divided into the control group(32 cases) and the observation group(33 cases)according to the random number table method.The control group received routine psychological nursing and education,and the observation group received AIDET communication mode combined with acceptance commitment therapy.The psychological flexibility level,anxiety and depression level,and self-management ability were compared between the two groups before intervention and six weeks after intervention.The incidence of adverse cardiovascular events at six months after intervention was recorded in both groups.Results After intervention,the scores of the acceptance and action questionnaire,the total score of the hospital anxiety and depression scale,and the scores of the anxiety subscale and the depression subscale were lower than those before intervention,and the observation group was lower than the control group(P <0.05).The daily living ability,disease knowledge,compliance behavior,first aid knowledge,emotion management scores,and total score of self-management ability in both groups were higher than those before intervention,and the observation group was higher than the control group(P<0.05).The incidence of adverse cardiovascular events after six months in the observation group was lower than that in the control group(P <0.05).Conclusion AIDET communication mode combined with acceptance commitment therapy can improve the psychological flexibility of patients undergoing percutaneous coronary stenting,reduce their anxiety and depression,improve their self-management ability,and reduce the incidence of adverse cardiovascular events,which is worthy of clinical promotion.