术前访视认知图在左心房封堵术治疗房颤中的应用研究

Application Effect of Illustration Preoperative Visit in Patients With Atrial Fibrillation Undergoing Left Atrial Occlusion

目的探究术前访视认知图对房颤(atrial fibrillation,AF)行左心房封堵术患者心理调适及自我效能的影响。方法将厦门大学附属第一医院2019年6月—2021年5月收治的77例AF行左心房封堵术患者随机分为观察组(39例)、对照组(38例)两组,两组均给予左心房封堵术常规护理,其中A组在此基础上增加术前访视认知图进行干预。干预前后比较两组患者心理调适水平(罗杰斯心理健康调适问卷);比较两组患者应对方式(医学应对问卷,medical copingmodes questionnaire,MC-MQ);比较两组患者疾病认知程度(自制问卷)及自我效能(自我效能感量表,general self-efficacy scale,GSES);比较两组患者并发症(心包积液、心包填塞、血栓栓塞、封堵器脱落)发生情况。结果两组患者干预前罗杰斯心理健康调适问卷、疾病认知程度、GSES评分及各MC-MQ评分比较差异均无统计学意义(P>0.05),干预后两组患者罗杰斯心理健康调适问卷、疾病认知程度、GSES及MC-MQ面对评分较干预前均有明显提高,且观察组明显高于同时间对照组,差异有统计学意义(P<0.05);干预后两组患者MC-MQ回避、屈服评分较干预前均有明显下降,且观察组明显低于同时间对照组,差异有统计学意义(P<0.05);观察组患者治疗期间并发症发生率明显低于同时间对照组,差异有统计学意义(P<0.05)。结论术前访视认知图能有效提高AF行左心房封堵术治疗患者心理调适水平及自我效能,能增加其疾病认知程度,引导患者正确面对疾病,减少术后并发症发生风险。

Objective To explore the application effect of illustration preoperative visit on the psychological adjustment and self-efficacy of patients with atrial fibrillation(AF)undergoing left atrial occlusion.Methods A total of 77 patients with AF who underwent left atrial occlusion surgery admitted to the First Affiliated Hospital of Xiamen University from June 2019 to May 2021 were randomly divided into observation group(39 cases)and control group(38 cases).Both groups were given conventional care for left atrial occlusion.The group A was added an illustration preoperative visit for intervention.The psychological adjustment levels of the two groups were compared before and after the intervention(Rogers Mental health Adjustment questionnaire).The coping styles of the two groups were compared(medical copingmodes questionnaire,MC-MQ).Efficacy of disease cognition(self-made questionnaire)and self-efficacy(general self-efficacy scale,GSES)were compared between the two groups.The incidence of complications(pericardial effusion,pericardial tamponade,thromboembolism,occluder detachment)was compared between the two groups.Results There were no statistical difference between the two groups on the Rogers Mental Health Adjustment Questionnaire,disease awareness,GSES score and MC-MQ scores before intervention(P>0.05).After intervention,Rogers Mental Health Adjustment Questionnaire,disease cognition degree,GSES and MC-MQ scores of the two groups were significantly improved compared with those before intervention,and the results in group A was significantly higher than group B at the same time,the difference was statistically significant(P<0.05).After intervention,MC-MQ avoidance and yield scores in 2 groups were significantly lower than those before intervention,and the results group A was significantly lower than group B at the same time,and the difference was statistically significant(P<0.05).The incidence of complications in group A was significantly lower than that in group B at the same time,and the difference was statistically significant(P<0.05).Conclusion Illustration preoperative visit can effectively improve the psychological adjustment and selfefficacy of patients undergoing left atrial occlusion for AF,increase their disease awareness,guide patients to face the disease correctly,and reduce postoperative complications.