首页|认知行为疗法对心力衰竭患者负性情绪、自我效能及健康行为的影响

认知行为疗法对心力衰竭患者负性情绪、自我效能及健康行为的影响

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目的:探讨认知行为疗法对心力衰竭患者负性情绪、自我效能及健康行为的影响.方法:选择2021年4月—2022年7 月蚌埠医学院第一附属医院心血管科收治的 60 例心力衰竭患者作为研究对象.根据随机数表法分为观察组和对照组,各 30 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疗法.比较两组焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我效能及健康行为方式评分.结果:出院时,观察组SAS评分、SDS评分明显低于对照组,自我效能评分高于对照组,差异有统计学意义(P<0.05).出院 2 周后,观察组合理饮食、适量运动、遵医用药、定期复查率均高于对照组,差异有统计学意义(P<0.05).结论:认知行为疗法在心力衰竭患者中的应用可以减轻焦虑、抑郁程度,提高自我效能,从而形成健康行为模式.
Effects of Cognitive Behavioral Therapy on Negative Emotion,Self-efficacy and Health Behavior in Patients with Heart Failure
Objective:To investigate the effects of cognitive behavioral therapy on negative emotion,self-efficacy and health behavior in patients with heart failure.Method:A total of 60 patients with heart failure who admitted to the Cardiovascular Department of the First Affiliated Hospital of Bengbu Medical College from April 2021 to July 2022 were selected as the study objects.According to random number table method,the patients were divided into observation group and control group,with 30 cases in each group.The control group was given routine nursing,the observation group was given cognitive behavioral therapy on the basis of the control group.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),self-efficacy and health behavior scores were compared between the two groups.Result:At discharge,the SAS score and SDS score in the observation group were significantly lower than those in the control group,and the self-efficacy score was higher than that in the control group,the differences were statistically significant(P<0.05).At 2 weeks after discharge,the rates of reasonable diet,moderate exercise,medical medicine compliance and regular review in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of cognitive behavioral therapy in patients with heart failure can reduce the occurrence of anxiety and depression,improve the self-efficacy,so as to form a health behavior pattern.

Cognitive behavioral therapyHeart failureSelf-efficacySelf care

谢影、王冬梅、周静、黄宇理、王教术

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蚌埠医科大学第一附属医院 安徽 蚌埠 233000

认知行为疗法 心力衰竭 自我效能 自我护理

蚌埠医学院人文社会科学重点项目

2020byzd231sk

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(18)