摘要
目的探讨综合护理联合正念认知疗法对经皮冠状动脉介入术(PCI)治疗患者的影响。方法选取河南科技大学第二附属医院2021年12月至2022年12月收治的98例冠心病患者,随机数字表法分为对照组和观察组,各49例。对照组采用常规护理,观察组采用综合护理联合正念认知疗法。比较两组心理弹性评分、睡眠质量评分以及心脏不良事件发生率。结果与干预前相比,干预后两组心理弹性评分均升高,差异有统计学意义(P<0.05),干预后观察组心理弹性评分高于对照组,差异有统计学意义(P<0.05);与干预前相比,干预后两组睡眠质量评分均降低,差异有统计学意义(P<0.05),干预后观察组睡眠质量评分均低于对照组,差异有统计学意义(P<0.05),观察组心脏不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论综合护理联合正念认知疗法可有效改善PCI治疗患者心理弹性,提高睡眠质量,降低心脏不良事件发生率。
Objective To explore the impact of comprehensive nursing combined with mindfulness cognitive therapy on patients undergoing percutaneous coronary intervention(PCI).Methods A total of 98 patients with coronary heart disease admitted to our hospital from December 2021 to December 2022 were randomly divided into a control group and an observation group using a number table method,with 49 patients in each group.The control group received routine nursing,while the observation group received comprehensive nursing combined with mindfulness cognitive therapy.Psychological resilience score,sleep quality score and incidence of adverse cardiac events were compared between the two groups were compared.Results Compared with the pre intervention,the psychological resilience scores of the two groups increased after the intervention,with a statistically significant difference(P<0.05).After the intervention,the psychological resilience scores of the observation group were higher than those of the control group,with a statistically significant difference(P<0.05);Compared with the pre intervention,the sleep quality scores of both groups decreased after the intervention,with a statistically significant difference(P<0.05).After the intervention,the sleep quality scores of the observation group were lower than those of the control group,with a statistically significant difference(P<0.05).The incidence of adverse cardiac events in the observation group was lower than that of the control group,with a statistically significant difference(P<0.05).Conclusions Comprehensive nursing combined with mindfulness cognitive therapy can effectively improve the psychological resilience of PCI patients,improve the quality of sleep,and reduce the incidence of adverse cardiac events.
作者
张朝霞
李红岩
ZHANG Chaoxia;LI Hongyan(DepartmentⅡof Cardiovascular,the Second Affiliated Hospital of Henan University of Science and Technology,Luoyang Henan 471000,China;Department of Neurology,the Second Affiliated Hospital of Henan University of Science and Technology,Luoyang Henan 471000,China)
出处
《临床研究》
2023年第8期185-188,共4页
Clinical Research
关键词
冠心病
经皮冠状动脉介入术
正念认知疗法
综合护理
心理弹性
coronary heart disease
percutaneous coronary intervention
mindfulness cognitive therapy
comprehensive nursing
psychological resilience