萨提亚模式心理护理对住院冠心病患者负面情绪、治疗依从性的影响分析

Effects of psychological nursing based on Satir model on negative emotions and treatment compliance in inpatients with coronary heart disease

目的探究萨提亚模式的心理护理对住院冠心病患者负面情绪、治疗依从性的影响。方法选取2021年1月~2023年9月于本院进行治疗的160例住院冠心病患者作为研究对象,根据入院时间分为对照组和萨提亚组各80例。对照组在住院期间行常规心理护理,萨提亚组在住院期间行萨提亚模式的心理护理。对比分析2组干预前和干预1个月后患者简易精神状态评价量表(minimental state examination,MMSE)、中国心血管病人生活质量评定问卷(China questionnaire of quality of life inpatients with cardiovascular diseases,CQQC)、抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)评分以及并发症发生率和治疗依从性。结果两组干预前MMSE、CQQC、SAS、SDS、治疗依从性评分均无显著差异(P>0.05);干预后两组MMSE、CQQC、服药依从性、运动依从性、非运动依从性评分均显著升高(P<0.05),SAS、SDS评分显著降低(P<0.05);干预后萨提亚组MMSE、CQQC、服药依从性、运动依从性、非运动依从性评分显著高于对照组(P<0.05),SAS、SDS评分显著低于对照组(P<0.05);两组患者术后并发症发生率无显著差异(P<0.05)。结论萨提亚模式的心理护理可有效调整住院冠心病患者负性情绪,提高其治疗依从性,改善患者生活质量。

Objective To explore the effects of psychological nursing based on Satir model on negative emotions and treatment compliance in inpatients with coronary heart disease.Methods A total of 160 patients with coronary heart disease treated in the hospital were enrolled as the research objects between January 2021 and September 2023.According to the admission time,they were divided into control group and Satir group,80 cases in each group.During hospitalization,control group was given routine psychological nursing,while Satir group was given psychological nursing based on Satir model.The scores of mini-mental state examination(MMSE),China questionnaire of quality of life inpatients with cardiovascular diseases(CQQC),self-rating depression scale(SDS)and self-rating anxiety scale(SAS)before intervention and after 1 month of intervention,incidence of complications and treatment compliance were compared between the two groups.Results Before intervention,there was no significant difference in scores of MMSE,CQQC,SAS,SDS and treatment compliance between the two groups(P>0.05).After intervention,scores of MMSE,CQQC,medication compliance,exercise compliance and non-exercise compliance were significantly increased in both groups(P<0.05),which were significantly higher in Satir group than control group(P<0.05),and scores of SAS and SDS were significantly decreased(P<0.05),which were significantly lower in Satir group than control group(P<0.05).There was no significant difference in the incidence of postoperative complications between two groups(P>0.05).Conclusion Psychological nursing based on Satir model can effectively adjust negative emotions,improve treatment compliance and quality of life in inpatients with coronary heart disease.