Cox健康行为互动模式对冠状动脉介入术后患者恐动症及负性情绪的影响

Effects of Cox health behavior interaction model on kinetophobia and negative emotions in patients with coronary heart disease after PCI

目的探讨Cox健康行为互动模式对冠心病经皮冠状动脉介入治疗(percutaneous coronary intervention,PCI)术后患者恐动症及焦虑、抑郁情绪的影响。方法选取2021年3月-6月心血管内科收治的68例冠心病PCI术后恐动症患者为研究对象。按照入院时间将所有患者进行分组,2021年3月-4月收治的34例患者为对照组,2021年5月-6月收治的34例患者为试验组。对照组实施常规护理,试验组在对照组的基础上实施Cox健康行为互动模式干预。比较2组恐动症水平、焦虑、抑郁及6分钟步行距离。结果干预后,试验组恐动症、焦虑及抑郁评分均低于对照组(Z=-6.279,P<0.001;Z=-4.887,P<0.001;Z=-2.873,P=0.004),6分钟步行距离大于对照组(Z=-3.035,P=0.003)。结论Cox健康行为互动模式可有效降低冠心病PCI术后患者恐动症水平,提高其运动耐力,改善患者的焦虑、抑郁情绪。

Objective To explore the effect of Cox′s health behavior interaction model on kinesiophobia,anxiety and depression in patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods Sixty eight CHD patients diagnosed as post-PCI kinesiophobia were selected and randomly divided into a control group and an experimental group,each of 34,according to their admission time.Both groups were given routine nursing,while the experimental group was additionally provided with intervention based on the Cox′s interaction model.Then,both groups were measured the level of kinesiophobia,anxiety and depression.Moreover,they were evaluated using the 6-min walking distance(6MWD).Results After the intervention,the kinesiophobia,anxiety and depression levels of the experimental group were significantly lower than that of the control group(Z=-6.279,P<0.001;Z=-4.887,P<0.001;Z=-2.873,P=0.004).However,the 6MWD distance of the experimental group was significantly longer than the latter(Z=-3.035,P=0.003).Conclusion Cox′s health behavior interaction model can reduce the level of kinetophobia in patients with coronary heart disease after PCI,improve their exercise ability,and relieve their anxiety and depression.