认知重构干预对冠心病患者的心理状态及治疗依从性的效果

摘要

Objective:To explore improving effect of cognitive restructuring intervention on control attitude,mental state and compliance in patients with coronary heart disease (CHD).Methods:A total of 112 CHD patients were selected.Ac-cording to random number table,they were randomly and equally divided into routine nursing group and cognitive restructu-ring group.Control attitude score,mental state change and compliance were compared between two groups before and after nursing.Results:Compared with before nursing and routine nursing group after nursing,there was significant rise in control attitude score [(26.51±2.04)scores,(27.22±3.58)scores vs.(31.96±3.13)scores]in cognitive restructuring group, P =0.001 both;compared with before nursing,there were significant reductions in scores of Zung's anxiety self-rating scale (SAS)and Zung's depression self-rating scale (SDS)after nursing in both groups,and compared with routine nursing group after nursing,there were significant reductions in scores of SAS [(41.62±6.55)scores vs.(35.02±4.31)scores]and SDS[(48.24±7.32)scores vs.(41.02±5.33)scores]in cognitive restructuring group,P <0.01 all;therapeutic compliance of cognitive restructuring group was significantly better than that of routine nursing group (96.43% vs.75.00%,P =0.003). Conclusion:Cognitive restructuring intervention can significantly improve control force,relieve negative emotions and im-prove therapeutic compliance in CHD patients,which is worth extending.%目的:探讨认知重构干预运用于冠心病患者对控制态度、心理状态和依从性的改善效果.方法:选择冠心病患者112例,根据随机数字表分为常规护理组、认知重构组,各56例.对比两组护理前后控制态度评分、心理状态变化和依从性情况.结果:与护理前及常规护理组护理后比较,认知重构组护理后控制态度评分显著提高[(26.51±2.04)分、(27.22±3.58)分比(31.96±3.13)分,P均=0.001];两组护理后Zung氏焦虑自评量表(SAS)评分、Zung氏抑郁自评量表(SDS)评分均显著低于护理前,且与常规护理组比较,认知重构组护理后SAS评分[(41.62±6.55)分比(35.02±4.31)分]、SDS评分[(48.24±7.32)分比(41.02±5.33)分]明显降低(P均<0.01);认知重构组治疗依从性明显优于常规护理组(96.43%比75.00%,P=0.003).结论:认知重构干预运用于冠心病患者可明显改善控制力,缓解负面情绪,提高治疗依从性,值得推广.