引导想象训练结合优势内容递增健康教育法对冠脉搭桥术后患者睡眠质量、心理状态及心脏康复的影响

Effects of guided imagination training combined with advantage content increasing health education method on sleep quality, psychological state and cardiac rehabilitation of patients after coronary artery bypass grafting

目的探讨引导想象训练结合优势内容递增健康教育法在冠脉搭桥术后的应用价值。方法选取2019年3月至2021年3月我院收治的86例冠脉搭桥术后患者,根据护理方案不同将其分为对照组和观察组,各43例。对照组接受常规护理,观察组在对照组护理方案基础上加施引导想象训练结合优势内容递增健康教育法。比较两组的干预效果。结果干预后7、14 d,观察组的匹兹堡睡眠质量指数(PSQI)评分低于对照组(P<0.05)。干预后,观察组的抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均低于对照组(P<0.05)。干预后,观察组的左室舒张末期内径(LVDD)、左室收缩末期内径(LVDS)均小于对照组,左心室射血分数(LVEF)大于对照组(P<0.05)。结论引导想象训练结合优势内容递增健康教育法用于冠脉搭桥术后临床护理中,可有效改善患者睡眠质量及心理状态,促进心脏功能康复。

Objective To explore the application value of guided imagination training combined with advantage content increasing health education method after coronary artery bypass grafting.Methods A total of 86 patients after coronary artery bypass grafting admitted in our hospital from March 2019 to March 2021 were selected and divided into control group and observation group according to the different nursing schemes,with 43 cases in each group.The control group received routine nursing,while the observation group received guided imagination training combined with advantage content increasing health education method based on the nursing schemes of the control group.The intervention effects of the two groups were compared.Results At 7 and 14 d after intervention,the score of Pittsburgh Sleep Quality Index(PSQI)in the observation group was lower than that in the control group(P<0.05).After intervention,the scores of Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)in the observation group were lower than those in the control group(P<0.05).After intervention,the left ventricular end-diastolic diameter(LVDD)and left ventricular end-systolic diameter(LVDS)in the observation group were less than those in the control group,and the left ventricular ejection fraction(LVEF)was greater than that in the control group(P<0.05).Conclusion Guiding imagination training combined with advantage content increasing health education method for clinical nursing after coronary artery bypass grafting can effectively improve the sleep quality and psychological state of patients and promote the rehabilitation of cardiac function.