基于慢性病轨迹框架的目标管理对冠心病患者的影响

Effect of Objective Management Based on Chronic Disease Trajectory Framework in Patients with Coronary Heart Disease

目的:探讨基于慢性病轨迹框架的目标管理对冠心病患者认知性情绪调节能力、疾病管理能力及生活质量的影响。方法:从2020年1月1日~12月31日收治的冠心病患者中随机选取79例作为对照组,给予常规护理;从2021年1月1日~2022年1月1日收治的冠心病患者中随机选取79例作为观察组,给予基于慢性病轨迹框架的目标管理。比较两组干预前及干预6个月后情绪调节能力[采用认知性情绪调节问卷(CERQ)]、疾病管理能力[采用冠心病自我管理行为量表(CSMS)]、自我效能[采用慢性病自我效能量表(CDSES)]、生活质量[采用中国心血管病人生活质量量表(CQQC)]。结果:干预后,两组CERQ中适应性情绪调节评分及CSMS、CDSES、CQQC各维度评分均高于干预前(P<0.01),且观察组高于对照组(P<0.01);干预后,两组CERQ中非适应性情绪调节评分低于干预前(P<0.01),且观察组低于对照组(P<0.01)。结论:基于慢性病轨迹框架的目标管理可提高冠心病患者疾病控制能力,实现自我调节情绪,提高自我效能和生活质量。

Objective:To explore the effect of objective management based on chronic disease trajectory framework on the cognitive emotion regulation strategy,disease management ability and quality of life in patients with coronary heart disease.Methods:A total of 79 patients with coronary heart diseased from January 1,2020 to December 31,2020 were randomly selected and included in the control group,and another 79 patients with coronary heart disease who were given objective management based on chronic disease trajectory framework between January 1,2021 and January 1,2022 were randomly enrolled as the observation group.Before and after 6 months of intervention,the two groups of patients were compared in terms of emotional regulation ability by cognitive emotion regulation questionnaire(CERQ),disease management ability by coronary heart disease self-management scale(CSMS),self-efficacy by chronic disease self-efficacy scale(CDSES)and quality of life by Chinese questionnaire of quality of life for cardiovascular disease(CQQC).Results:After intervention,the scores of emotion regulation ability(adaptive emotion regulation ability)in CERQ,CSMS,CDSES and CQQC in both groups were higher than those before intervention(P<0.01),and those in the observation group were higher than those in the control group(P<0.01).After intervention,the scores of some emotion regulation ability(non-adaptive emotion regulation ability)in both groups were lower than those before intervention(P<0.01),and those in the observation group were lower than those in the control group(P<0.01).Conclusion:Objective management based on chronic disease trajectory framework can help patients with coronary heart disease to enhance disease control ability,achieve self-regulation of emotions,increase self-efficacy,and improve quality of life,clinical application value.