认知行为干预对急性心肌梗死患者创伤后成长的影响

Effect of cognitive behavioral intervention on post-traumatic growth in patients with acute myocardial infarction

目的探讨在急性心肌梗死(AMI)患者临床护理中应用认知行为干预对患者创伤后成长的干预效果。方法选择2021年9月—2022年6月医院收治的AMI患者60例,按组间基本资料具有可比性的原则分为观察组和对照组,各30例。对照组实施常规护理,观察组在对照组基础上实施认知行为干预,两组均观察至患者出院。比较两组患者情绪状态、创伤后成长、运动耐力及护理满意度。结果观察组出院时焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05);观察组出院时创伤后成长量表(PTGI)评分高于对照组,6MWT距离长于对照组,差异有统计学意义(P<0.05);观察组患者对护理的满意度为93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05)。结论认知行为干预在AMI患者中具有较好的应用效果,利于改善负性情绪,促进创伤后成长,提升运动耐力及护理满意度。

Objective To investigate the effect of cognitive behavioral intervention on post-traumatic growth of patients with acute myocardial infarction(AMI)in clinical nursing.Methods 60 patients with AMI admitted to hospital from September 2021 to June 2022 were selected and divided into observation group and control group with 30 cases in each group according to the principle of comparability of basic data between groups.The control group received routine nursing,the observation group received cognitive behavioral intervention based on the control group.Both groups were observed until the patients were discharged.Emotional state,post-traumatic growth,exercise endurance and nursing satisfaction were compared between the two groups.Results The Self-rating Anxiety Scale(SAS)score and Self-rating Depression Scale(SDS)score of the observation group were lower than the control group at discharge,the difference was statistically significant(P<0.05).The score of Post-Traumatic Growth Invention(PTGI)in the observation group was higher than that in the control group,and the distance of 6MWT was longer than that in the control group,the difference was statistically significant(P<0.05).The satisfaction of the observation group was 93.33%,which was higher than the control group's 73.33%,the difference was statistically significant(P<0.05).Conclusion Cognitive behavioral intervention has a good application effect in AMI patients,which can improve negative emotions,promote post-traumatic growth,improve exercise endurance and nursing satisfaction.