互动式教育结合结构性心理干预对植入心脏永久起搏器患者情绪状态、生活质量和自我效能的影响

Effects of interactive education combined with structural psychological intervention on emotional state, quality of life and self-efficacy of patients with implanted permanent cardiac pacemakers

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2021, 48(2)
作者
作者单位

郑州颐和医院心血管内科 ;

摘要
【摘要】目的:探究互动式教育结合结构性心理干预对植入心脏永久起搏器患者情绪状态、生活质量和自我效能的影响。方法:选取我科2017年1月至2019年9月期间94例植入心脏永久起搏器患者作为研究对象,随机分为两组,均给予围术期管理,对照组47例给予互动式教育,观察组47例增加结构性心理干预,3月后,对比两组患者情绪状态、生活质量、和自我效能。结果:治疗3个月后,观察组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分较对照组下降(P<0.05);观察组除躯体功能评分较对照组差异无统计学意义(P>0.05)外,心理功能、社会功能、认知功能评分均较对照组升高(P<0.05);观察组自我效能感量表(GSES)评分较对照组升高(P<0.05),差异具有统计学意义。结论:采取探究互动式教育结合结构性心理干预对植入心脏永久起搏器患者治疗效果确切,能够通过让患者掌握心脏永久起搏器的相关知识缓解焦虑、抑郁状态,通过缓解负面情绪提高患者生活质量,通过增强患者信心提高自我效能,且术后并发症发生率低,值得临床推广使用。
Abstract
[Abstract] Objective: To explore the effects of interactive education combined with structural psychological intervention on emotional state, quality of life and self-efficacy of patients with implanted permanent cardiac pacemaker. Selection methods: our department during January 2017 to September 2019, 94 patients with permanent pacemaker implanted heart as the research object, randomly divided into two groups, were given perioperative management, interactive education, 47 patients were given observation group of 47 cases increased structural psychological intervention, 3 months, compared two groups of patients emotional state, the quality of life, self-efficacy, and the incidence of postoperative complications. Results: After 3 months of treatment, the scores of self-rating anxiety scale (SAS) and self-rating depression Scale (SDS) in the observation group were lower than those in the control group (P < 0.05). The scores of psychological function, social function and cognitive function in the observation group were all higher than those in the control group (P < 0.05), except that the difference of physical function score was not statistically significant (P > 0.05). The score of Self-efficacy Scale (GSES) in the observation group was higher than that in the control group (P < 0.05). and the difference was statistically significant. Conclusion: the combination of interactive education to explore structural psychological intervention in patients with permanent pacemaker implanted heart treatment effect is exact, can make patients master permanent cardiac pacemaker lower anxiety and depressive state related knowledge, improve patients quality of life by alleviate negative emotions, through strengthen the patients confidence improve self-efficacy, and lower incidence of postoperative complications, worthy of clinical use.
关键词
【关键词】:互动式教育;植入心脏永久起搏器;结构性心理干预;自我效能
KeyWord
【 Key words 】 : interactive education; Permanent pacemaker implantation; Structural psychological intervention; self-efficacy
基金项目
页码 289-292
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郭文静*. 互动式教育结合结构性心理干预对植入心脏永久起搏器患者情绪状态、生活质量和自我效能的影响 [J]. 国际精神病学杂志. 2021; 48; (2). 289 - 292.

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