立体结构式心理干预在改善PCI术后患者负性情绪及自我管理能力的应用观察

Application of Three-dimensional Psychological Intervention in Improving Negative Emotions and Self-management Ability of Patients After PCI

目的:探究立体化心理干预对经皮冠状动脉介入(PCI)术后患者负性情绪及自我管理水平的影响。方法:选取2022年1月—2023年2月河南省直属机关第二门诊部就诊的86例行PCI术患者作为研究对象,根据随机数表法将其分为对照组及观察组,对照组采用常规护理干预,观察组在此基础上给予立体化心理护理干预,两组患者均护理至出院。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估两组患者焦虑、抑郁程度,采用简明心境量表评估心理健康状态,采用冠心病自我管理量表(CSMS)评估自我管理能力,采用西雅图心绞痛量表(SAQ)评估生活质量情况。结果:干预后,两组患者SAS、SDS评分均较干预前降低,观察组患者SAS、SDS评分均低于对照组(t=7.647、6.025,P<0.05);干预后,观察组患者疲乏、紧张、愤怒、压抑、迷惑评分均低于对照组,精力评分高于对照组,差异有统计学意义(t=2.827、7.894、2.399、3.549、4.911、5.528,P<0.05);干预后,观察组患者CSMS评分均高于对照组,差异有统计学意义(t=4.017、2.109、4.219,P<0.05);干预后,观察组患者SAQ评分均高于对照组,差异有统计学意义(t=4.308、4.795、4.524、2.577、3.262,P<0.05)。结论:立体化心理干预可提高PCI术后患者自我管理能力并缓解负性情绪。

Objective:To investigate the effects of three-dimensional psychological intervention on negative emotions and self-management level in patients after percutaneous coronary intervention(PCI).Methods:A total of 86 patients undergoing PCI who were treated in the hospital from January 2022 to Febuary 2023 were enrolled.They were divided into control group and observation group according to random number table method.The control group was given routine nursing.Observation group was given three-dimensional psychological nursing.Both groups were nursed till discharge.The anxiety and depression were assessed by self-rating anxiety scale(SAS)and self-rating depression scale(SDS).The psychological health status was assessed by brief profile of mood state.The self-management ability was assessed by coronary artery disease self-management scale(CSMS).Seattle angina questionnaire(SAQ)was performed to assess quality of life.Results:After intervention,scores of SAS and SDS in both groups were decreased,which were lower in observation group than control group(t=7.647,6.025;P<0.05).The scores of fatigue,stress,anger,depression and confusion in observation group were lower than those in control group,while energy score was higher than that in control group(t=2.827,7.894,2.399,3.549,4.911,5.528;P<0.05).After intervention,CSMS score in both groups were increased,which was higher in observation group than control group(t=4.017,2.109,4.219;P<0.05).After intervention,SAQ score in both groups were increased,which was higher in observation group than control group(t=4.308,4.795,4.524,2.577,3.262;P<0.05).Conclusion:Three-dimensional psychological intervention can improve self-management ability of patients after PCI,and alleviate negative emotions.