首页|问题导向模式下健康教育联合心理干预对老年冠心病心绞痛患者情绪状态、生活质量的影响

问题导向模式下健康教育联合心理干预对老年冠心病心绞痛患者情绪状态、生活质量的影响

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目的 探讨问题导向模式下健康教育联合心理干预对老年冠心病心绞痛患者情绪状态、生活质量的影响.方法 选择 2020 年 1 月—2023 年6月中国人民解放军联勤保障部队第九六〇医院收治的 92 例老年冠心病心绞痛患者为研究对象,按随机数字表法分为对照组及观察组,每组 46 例.对照组采用常规基础护理,观察组采用问题导向模式下健康教育联合心理干预,均持续 8 周.比较两组患者的情绪状态、睡眠质量及生活质量.结果 干预后,观察组的汉密顿焦虑量表、汉密顿抑郁量表评分均低于对照组,组间差异有统计学意义(P<0.05);观察组的匹兹堡睡眠指数量表评分为(7.75±1.03)分,低于对照组的(10.62±1.17)分,差异有统计学意义(P<0.05);观察组的生活质量综合评定问卷中各个维度评分均高于对照组,组间差异有统计学意义(P<0.05).结论 问题导向模式下健康教育联合心理干预可有效调节老年冠心病心绞痛患者的情绪状态,提高其睡眠质量及生活质量.
Effects of Health Education Under Problem-Oriented Mode Combined with Psychological Intervention on Emotional State and Quality of Life in Elderly Patients with Coronary Heart Disease and Angina Pectoris
Objective To explore the effect of health education under problem-oriented mode combined with psychological intervention on emotional state and quality of life in elderly patients with coronary heart disease angina pectoris.Methods A total of 92 elderly patients with coronary heart disease and angina pectoris admitted to the 960th Hospital of the Joint Logistics Support Force of the People's Liberation Army of China from January 2020 to June 2023 were selected as the research objects and were divided into a control group and an observation group by random number table,with 46 cases in each group.The control group was treated with routine basic nursing,and the observation group was treated with health education under problem-oriented mode combined with psychological intervention.Both groups continued the intervention for 8 weeks.The emotional state,sleep quality and quality of life of the two groups were compared.Results After intervention,the scores of Hamilton anxiety scale and Hamilton depression scale in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05);the Pittsburgh sleep quality index score of the observation group was(7.75±1.03)points,which was lower than(10.62±1.17)points of the control group,and the difference was statistically significant(P<0.05);the scores of all dimensions in the generic quality of life inventory-74 of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Health education under problem-oriented mode combined with psychological intervention can effectively regulate the emotional state of elderly patients with coronary heart disease and angina pectoris,improve their sleep quality and quality of life.

Coronary heart disease angina pectorisHealth education urder problem-oriented modePsychological interventionEmotional stateQuality of life

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中国人民解放军联勤保障部队第九六〇医院干部二科,山东济南 250031

冠心病心绞痛 问题导向模式下健康教育 心理干预 情绪状态 生活质量

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(17)