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认知行为干预在老年心力衰竭患者中的应用效果

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  • NETL
  • NSTL
  • 万方数据
  • 维普
目的:观察认知行为干预在老年心力衰竭患者中的应用效果.方法:选取 2020 年 1 月至 2021 年 4 月该院收治的 80 例老年心力衰竭患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 40 例.对照组给予常规护理,观察组在对照组基础上给予认知行为干预,比较两组护理依从率、护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、生命质量[世界卫生组织生存质量测定量表(WHOQOL-100)]评分及再住院率.结果:观察组护理依从率为97.50%(39/40),高于对照组的80.00%(32/40),差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组心理健康、生理健康、社会关系、周围环境等各项WHOQOL-100评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组再住院率为 2.50%(1/40),低于对照组的 22.50%(9/40),差异有统计学意义(P<0.05).结论:在常规护理基础上采用认知行为干预可提高老年心力衰竭患者护理依从率和生命质量评分,以及降低负性情绪评分和再住院率的效果优于单纯常规护理效果.
Application effects of cognitive behavioral intervention in elderly patients with heart failure
Objective:To observe application effects of cognitive behavioral intervention in elderly patients with heart failure.Methods:A prospective study was conducted on 80 elderly patients with heart failure admitted to the hospital from January 2020 to April 2021.According to the random number table method,they were divided into control group and observation group,40 cases in each group.The control group was given routine nursing,while the observation group was given cognitive behavioral intervention on the basis of that of the control group.The nursing compliance rate,the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]scores,the quality of life[world health organization quality of life inventory(WHOQOL-100)]score before and after the nursing,and the rehospitalization rate were compared between the two groups.Results:The nursing compliance rate of the observation group was 97.50%(39/40),which was higher than 80.00%(32/40)of the control group,and the difference was statistically significant(P<0.05).After the nursing,the SAS score and SDS score of the two groups were lower than those before the nursing,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The WHOQOL-100 scores of mental health,physical health,social relations and surrounding environment in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the rehospitalization rate of the observation group was 2.50%(1/40),which was lower than 22.50%(9/40)of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the cognitive behavioral intervention can improve the routine nursing compliance rate and the quality of life scores of the elderly patients with heart failure,and reduce the negative emotion scores and the rehospitalization rate.Moreover,it is superior to single routine nursing.

Cognitive behavioral interventionElderly heart failureCompliance rateNegative emotionQuality of life

陶芳

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庐山市中医院内科,江西 庐山 332800

认知行为干预 老年心力衰竭 依从率 负性情绪 生命质量

2024

10.3969/j.issn.1672-0369.2024.07.048

中国民康医学
中国社会工作协会

中国民康医学

影响因子：0.649
ISSN：1672-0369
年,卷(期)：2024.36(7)
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