首页|Watson关怀理论干预模式对冠心病心绞痛患者心理状态及自我效能的影响

Watson关怀理论干预模式对冠心病心绞痛患者心理状态及自我效能的影响

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目的:探讨基于Watson关怀理论干预模式对冠心病心绞痛(CHDAP)患者心理状态及自我效能的影响。方法:将2022年3月-2024年3月某院收治的105例CHDAP患者随机分为两组,对照组52例予以常规干预指导,试验组53例在常规干预基础上予以基于Watson关怀理论干预模式。比较两组心理状态、疾病负担感、自我效能、生活质量。结果:干预后,试验组中文版简式心境状态量表(POMS)积极情绪(精力、自尊感)评分均高于对照组(t=3。714,2。619;P<0。05);试验组POMS消极情绪(紧张、愤怒、疲劳、抑郁、慌乱)评分均低于对照组(t=-2。796,-3。708,-3。410,-2。705,-4。583;P<0。05);干预后,试验组自我感受负担量表(SPBS)身体因素负担、情感因素负担、经济因素负担评分及总分低于对照组(t=-2。808,-3。422,-2。859,-6。988;P<0。05);干预后,试验组中文版疼痛自我效能问卷(SC-PSEQ)社会功能效能、家务/工作效能、疼痛职能效能评分及总分均高于对照组(t=2。579,2。992,2。621,6。981;P<0。05);干预后,试验组西雅图心绞痛量表(SAQ)躯体活动受限、AP稳定状态、AP发作情况、治疗满意度、疾病认知评分高于对照组(t=2。330,2。873,2。523,2。980,2。499;P<0。05)。结论:基于Watson关怀理论干预模式有助于改善CHDAP患者的负性情绪,减轻疾病负担感,提升自我效能,提高生活质量。
Influence of intervention model based on Watsons caring theory on psychological status and self-efficacy in patients with coronary heart disease angina pectoris
Objective:To explore the influence of intervention model based on Watson s caring theory on psycholog-ical status and self-efficacy in patients with coronary heart disease angina pectoris(CHDAP).Methods:A total of 105 patients with CHDAP in the hospital from March 2022 to March 2024 were randomized into two groups.52 pa-tients in the control group were given routine intervention guidance,while 53 patients in the treatment group were added with intervention model based on Watson s caring theory on this basis.The psychological status,disease bur-den,self-efficacy and quality of life were compared between both groups.Results:After intervention,the scores of positive emotions(energy and self-esteem)of Chinese version of Profile of Mood States(POMS)in the treatment groups were higher than those in the control group(t=3.714,2.619;P<0.05).The scores of POMS negative emo-tions(tension,anger,fatigue,depression,panic)were lower in the treatment group than those in the control group(t=-2.796,-3.708,-3.410,-2.705,-4.583;P<0.05).The scores of physical factor burden,emotional factor burden and economic factor burden and total score of SPBS in the treatment groups after intervention were lower compared with those in the control group(t=-2.808,-3.422,-2.859,-6.988;P<0.05).After intervention,the scores of social func-tional efficacy,housework/work efficacy and pain function efficacy of Simplified Chinese version of Pain Self-Effi-cacy Questionnaire(SC-PSEQ)were higher in the treatment group than those in the control group(t=2.579,2.992,2.621,6.981;P<0.05).After intervention,the scores of aspects of physical activity limitation,AP stable state,AP attack,treatment satisfaction and disease cognition in the treatment group were higher compared to the control group(t=2.330,2.873,2.523,2.980,2.499;P<0.05).Conclusion:Intervention model based on Watson's caring theory is helpful to improve the negative emotions of CHDAP patients,relieve the disease burden,enhance the self-efficacy and improve the quality of life.

Watson'caring theoryCoronary heart diseaseAngina pectorisPsychological statusSelf-efficacy

李蕊

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河南省南阳市中心医院心血管内科 473000

Watson关怀理论 冠心病 心绞痛 心理状态 自我效能

2025

中国健康心理学杂志
中国心理卫生协会

中国健康心理学杂志

影响因子:1.264
ISSN:1005-1252
年,卷(期):2025.33(1)