| 顾丽萍,于文敏.结构性心理干预对永久心脏起搏器植入病人负性情绪、生活质量及自我效能的影响[J].安徽医药,2019,23(10):2001-2004. |
| 结构性心理干预对永久心脏起搏器植入病人负性情绪、生活质量及自我效能的影响 |
| Effects of structural psychological intervention on negative emotions，quality of life and self?efficacy in patients with permanent pacemaker implantation |
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| DOI：10.3969/j.issn.1009?6469.2019.10.024 |
| 中文关键词: 心理疗法 心脏起搏，人工 精神障碍 自我效验 生活质量 结构性心理干预 |
| 英文关键词: Psychotherapy Cardiac pacing,artificial Mental disorders Self efficacy Quality of life Structural psycho? logical intervention |
| 基金项目:江苏省常州市金坛区科技项目( TS2012052) |
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| 中文摘要: |
| 目的探究将结构性心理干预运用于永久心脏起搏器植入病人对其负性情绪、生活质量及自我效能的影响。方法选取常州市金坛区人民医院于 2012年 1月至 2017年 1月收治的永久心脏起搏器植入病人 128例，按入院先后顺序分为两组，每组各 64例。对照组行常规护理干预，观察组行常规护理基础上的结构性心理干预，对比两组护理前、护理 3个月后及护理 6个月后负性情绪、生活质量和自我效能。结果观察组护理 3个月后的焦虑自评量表( SAS)评分、抑郁自评量表( SDS)评分分别为( 33.16±5.28)分、(34.28±2.80)分，护理 6个月后的 SAS、SDS评分分别为( 26.01±5.23)分、(28.23±5.82)分，对照组护理 3个月后的 SAS、SDS评分分别为( 44.83±9.24)分、(41.73±4.10)分，护理 6个月后的 SAS、SDS评分分别为( 40.82±4.19)分、(38.22±5.21)分，两组差异有统计学意义( P＜0.05)；观察组护理 3、6个月后的起搏器生活质量测定量表( QLIPPv1.0)评分为( 60.01± 9.22)分、(52.04±8.24)分，均低于对照组( 73.81±15.91)分、(63.72±10.52)分，差异有统计学意义( P＜0.05)；护理 3、6个月后的一般自我效能感量表( GSES)评分为( 28.53±5.13)分、(31.37±3.92)分，均高于对照组( 25.72±4.51)分、(25.21±2.99)分，差异有统计学意义( P＜0.05)。护理 6个月后，病人术后并发症发生率为 9.38%(6/64)，低于对照组的 26.56%(17/64)，差异有统计学意义(P＜0.05)。结论结构性心理干预用于永久心脏起搏器植入病人可改善其负性情绪，提高其生活质量，增强其自我效能。 |
| 英文摘要: |
| Objective To explore the effects of structural psychological intervention on negative emotions，quality of life and self?effi? cacy of patients with permanent cardiac pacemakers.Methods A hundred and twenty?eight patients with permanent cardiac pace?maker implanted from January 2012 to January 2017 in Jintan People’s Hospital of Changzhou City were selected and assigned into two groups according to the order of admission，with 64 cases in each group.The control group received routine nursing intervention， and the observation group underwent structural psychological intervention based on routine nursing.The negative emotions，quality of life and self?efficacy were compared before treatment，after 3 months of care and after 6 months of care.Results The observation group’s 3?month anxiety self?rating scale(SAS)score and self?rating depression scale(SDS)score were(33.16±5.28)points，(34.28±2.80)points，and 6?month SAS and SDS scores were(26.01±5.23)points，(28.23±5.82)points，respectively.The control group’s 3?month SAS and SDS scores were(44.83±9.24)points，(41.73±4.10)points，and 6?month SAS and SDS scores were(40.82± 4.19)points，(38.22±5.21)points，respectively.The differences between the two groups were statistically significant(P＜0.05).The pacemaker quality of life measurement scale(QLIPPv1.0)scores of the observation group for 3 and 6 months of nursing［(60.01± 9.22)points，(52.04±8.24)points］were lower than those of the control group［(73.81±15.91)points，(63.72±10.52)points］.The dif? ferences were statistically significant(P＜0.05).The general self?efficacy scale(GSES)scores of the observation group after 3 and 6 months of nursing［(28.53±5.13)points，(31.37±3.92)points］were higher than those of the control group［(25.72±4.51)points，(25.21±2.99)points］and the differences were statistically significant(P＜0.05).After 6 months of nursing，the postoperative compli?cation rate was 9.38%(6，/64)，which was lower than that of the control group(26.56%，17/64).The difference was statistically signifi? cant(P＜0.05).Conclusion Applying structural psychological intervention to patients implanted with permanent cardiac pacemak?ers can improve their negative emotions and quality of life，and enhance their self?efficacy，which is worth promoting. |
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