量化评估策略下的保护性动机干预对心律失常经射频消融术患者认知水平的影响

Influence of protective motivation intervention based on quantitative evaluation on cognition in patients with arrhythmia undergoing radiofrequ-ency ablation

目的探究量化评估策略下的保护性动机干预对心律失常经射频消融术患者认知水平的影响。方法选取空军军医大学第二附属医院2021年1月至12月收治的450例行射频消融术治疗的心律失常患者,经随机数字表法将其分为对照组和观察组,各225例。对照组采用常规干预,观察组在此基础上采用量化评估策略下的保护性动机干预,比较两组干预前和干预1个月后的认知水平、自我护理能力及生活质量情况。结果干预后,两组认知水平(疾病、治疗、康复、社会知识)各维度评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组自我护理能力(自我概念、健康知识、自我护理技能、自我责任感)各维度评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组生活质量(体力状况、病情、医疗状况、一般生活、社会/心理状况、工作状况)各维度评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论量化评估策略下的保护性动机干预,可以提高行射频消融术治疗的心律失常患者的认知水平、自护能力及生活质量。

Objective To explore the influence of the effect of protective motivation intervention based on quantitative evaluation on cognition in patients with arrhythmia undergoing radiofrequency ablation.Methods A total of 450 patients with arrhythmia treated by radiofrequency ablation in the Second Affiliated Hospital of Air Force Military Medical University,from January to December 2021 were selected as the research objects,and they were divided into control group and observation group by random number table method,with 225 cases in each group.The control group was treated with routine intervention,and the observation group was treated with protective motivation intervention based on quantitative evaluation.The cognitive level,self-care ability,and quality of life were compared between the two groups before intervention and one month after intervention.Results After intervention,scores of cognitive level(disease,treatment,rehabilitation,and social knowledge)in both groups were higher than before intervention,and the observation group were higher than the control group,the differences were statistically significant(P<0.05).The scores of self-care ability(self-concept,health knowledge,and self-care skills,self-responsibility)in the two groups were higher than before intervention,and the observation group were higher than the control group,the differences were statistically significant(P<0.05).Scores of all dimensions of quality of life(physical condition,illness,medical condition,general life,social/psychological condition,and working condition)in both groups were higher than those before intervention,and those of the observation group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion Protective motivation interventions based on quantitative evaluation can improve cognition,self-care,and quality of life in patients with arrhythmia undergoing radiofrequency ablation.