首页|急性冠脉综合征患者术后用药期间应用理性情绪行为疗法的效果

急性冠脉综合征患者术后用药期间应用理性情绪行为疗法的效果

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目的:探讨理性情绪行为疗法(REBT)在急性冠脉综合征(ACS)术后用药期间的护理效果.方法:选取我院 2021 年 1 月—2023 年 1 月收治的 103 例行经皮冠状动脉介入治疗(PCI)的ACS患者为研究对象,以随机数字表法将其分为常规组(n=51)和REBT组(n=52),常规组采用常规护理干预,REBT组采用常规护理+理性情绪行为疗法干预,连续干预 4 周,比较两组服药依从性、心境状态量表评分和自我管理能力评分.结果:REBT组服药总依从率为 94.23%,高于常规组的78.43%(P<0.05);REBT组紧张、疲劳、抑郁、愤怒、慌乱评分均低于常规组,精力、自尊感评分均高于常规组(P<0.05);REBT组自我管理行为、自我管理环境和自我管理认知评分均高于常规组(P<0.05).结论:REBT可提高ACS患者术后服药依从性,改善其不良心理状态,还可增强其自我管理能力,值得临床应用.
Effect of Rational Emotive Behavior Therapy in Patients with Acute Coronary Syndrome During Postoperative Administration
Objective:To explore the nursing effect of rational emotive behavior therapy(REBT)in patients with acute coronary syndrome(ACS)during postoperative medication.Methods:A total of 103 patients with ACS who underwent percutaneous coronary intervention(PCI)in our hospital from January 2021 to January 2023 were selected as the research objects.They were divided into routine group(n=51)and REBT group(n=52)by random number table method.The routine group was treated with routine nursing intervention,and the REBT group was treated with routine nursing + rational emotional behavior therapy intervention for 4 weeks.The medication compliance,mood state scale score and self-management ability score were compared between the two groups.Results:The total medication compliance rate of the REBT group was 94.23%,which was higher than 78.43%of the conventional group(P<0.05).The scores of tension,fatigue,depression,anger and panic in the REBT group were lower than those in the routine group,and the scores of energy and self-esteem were higher than those in the routine group(P<0.05).The scores of self-management behavior,self-management environment and self-management cognition in the REBT group were higher than those in the conventional group(P<0.05).Conclusion:REBT can improve the postoperative medication compliance of ACS patients,improve their bad psychological state,and enhance their self-management ability,which is worthy of clinical application.

Rational emotive behavior therapyAcute coronary syndromeMedication complianceMood stateSelf-management ability

汤真、张晓方、邢妙莉、高明霞

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河南科技大学第一附属医院心血管内科,河南 洛阳 471000

理性情绪行为疗法 急性冠脉综合征 服药依从性 心境状态 自我管理能力

河南省医学科技攻关计划联合共建项目

LHGJ20190555

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(4)
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