心血管康复医学杂志2024,Vol.33Issue(1) :89-93.DOI:10.3969/j.issn.1008-0074.2024.01.19

CICARE沟通模式对急性心力衰竭患者的影响

Influence of CICARE communication mode on patients with acute heart failure

于银 崔杨慧 李爱霞 段明珍
心血管康复医学杂志2024,Vol.33Issue(1) :89-93.DOI:10.3969/j.issn.1008-0074.2024.01.19

CICARE沟通模式对急性心力衰竭患者的影响

Influence of CICARE communication mode on patients with acute heart failure

于银 1崔杨慧 1李爱霞 1段明珍1
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作者信息

  • 1. 海安市人民医院急诊科,江苏 海安 226600
  • 折叠

摘要

目的:研究接触-介绍-沟通-询问-回答-离开(CICARE)沟通模式对急性心力衰竭(AHF)患者的影响.方法:于我院治疗的156例AHF患者被随机均分为常规护理组与CICARE组(常规护理组基础上加用CICARE沟通模式),两组均干预一个月.比较两组一般临床资料、住院期间指标,干预前后汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、一般自我效能感量表(GSES)、生活质量量表(QOL-35)评分及并发症发生情况.结果:与常规护理组比较,CICARE组急救时间[(42.06±9.77)s比(20.27±3.77)s]、出诊时间[(95.67±23.18)min 比(50.07±11.21)min]、入院时间[(3.22±0.36)min 比(2.60±0.67)min]、住院时间[(22.33±4.82)d 比(14.13±2.42)d]均显著降低;干预后 HAMD[(14.02±1.42)分比(6.04±1.57)分]、HAMA 评分[(13.24±2.07)分比(7.16±2.17)分]降低更显著,GSES[(14.25±3.14)分比(32.03± 6.06)分]、QOL-35 评分[(70.67±5.75)分 比(86.93±5.51)分]升高更显著(P 均=0.001).CICARE 组并发症发生率显著低于常规护理组(5.13%比20.51%,P=0.004).结论:CICARE沟通模式可显著缓解急性心力衰竭患者的不良情绪,提高自我效能.

Abstract

Objective:To study influence of Connect-Introduce-Communicate-Ask-Respond-Exit(CICARE)communication mode on patients with acute heart failure(AHF).Methods:A total of 156 AHF patients treated in our hospital were randomly and equally divided into routine nursing group and CICARE group(received CICARE communication mode based on routine nursing group).Both groups were intervened for one month.General clinical data,hospitalization indexes,scores of Hamilton rating scale for depression(HAMD),Hamilton rating scale for anxiety(HAMA),general self-efficacy scale(GSES)and quality of life scale(QOL-35)before and after inter-vention and incidence of complications were compared between two groups.Results:Compared with routine nursing group,there were significant reductions in first aid time[(42.06±9.77)s vs.(20.27±3.77)s],visit time[(95.67±23.18)min vs.(50.07±11.21)min],admission time[(3.22±0.36)min vs.(2.60±0.67)min]and hospital stay[(22.33±4.82)d vs.(14.13±2.42)d];and scores of HAMD[(14.02±1.42)scores vs.(6.04± 1.57)scores]and HAMA[(13.24±2.07)scores vs.(7.16±2.17)scores]after intervention,and significant rise in scores of GSES[(14.25±3.14)scores vs.(32.03±6.06)scores]and QOL-35[(70.67±5.75)scores vs.(86.93±5.51)scores]in CICARE group after intervention(P=0.001 all).Incidence rate of complications in CICARE group was significantly lower than that of CICARE group(5.13%vs.20.51%,P=0.004).Conclusion:CICARE communication mode can significantly alleviate adverse emotions and improve self-efficacy in patients with acute heart failure.

关键词

心力衰竭/焦虑/抑郁

Key words

Heart failure/Anxiety/Depression

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出版年

2024
心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

CSTPCD
影响因子:1.157
ISSN:1008-0074
参考文献量10
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