冠心病患者负性情绪智能化改善方案的制订及应用

doi:10.3761/j.issn.0254-1769.2021.09.001

摘要/Abstract

摘要：

目的制订冠心病患者负性情绪智能化改善方案,并评价其应用效果。方法选取山西省某三级甲等医院心内科2020年2月—9月收治的冠心病合并负性情绪的患者为研究对象,2020年6月—9月收治的39例纳入试验组,2020年2月—5月收治的38例纳入对照组。试验组应用冠心病患者负性情绪智能化改善方案,对照组采用常规心理护理。对两组干预前后的焦虑自评量表得分、抑郁自评量表得分、匹兹堡睡眠质量指数量表得分及护士满意度进行比较。结果干预后试验组焦虑自评量表得分、抑郁自评量表得分、匹兹堡睡眠质量指数量表得分均低于对照组,差异有统计学意义（P<0.05）。护士对使用智能系统的各维度满意度较高,总体满意度达94.35%。结论冠心病患者负性情绪智能化改善方案的应用能够缓解患者的焦虑、抑郁情绪,提高患者的睡眠质量。

关键词: 冠心病, 负性情绪, 认知行为疗法, 护理

Abstract:

Objective To evaluate the efficacy of an intelligent negative emotion improvement program for patients with coronary heart disease（CHD）. Methods Patients with CHD complicated with negative emotion admitted in the Department of Cardiology of a tertiary hospital in Shanxi Province from February to September 2020 were selected as subjects of the study. 38 patients admitted from February to May 2020 were included in the control group and treated with routine psychological nursing. 39 patients in the experimental group were included from June to September 2020 and treated with the intelligent negative emotion improvement program. The scores of self-rating anxiety scale,self-rating depression scale,Pittsburgh sleep scale and nurses’ satisfaction were compared between the 2 groups before and after the intervention. Results After the intervention,the scores of Self-rating Anxiety Scale,Self-rating Depression Scale and Pittsburgh Sleep Scale in the experimental group were lower than those in the control group,and the difference was statistically significant（P<0.05）. Conclusion The implementation of the intelligent negative emotion improvement program for patients with CHD can improve patients’ anxiety and depression,improve their sleep quality.

Key words: Coronary Heart Disease, Negative Emotion, Cognitive Behavioral Therapy, Nursing Care

郝瑞霞, 李育玲, 徐勇, 杨丽洁, 韩雪. 冠心病患者负性情绪智能化改善方案的制订及应用[J]. 中华护理杂志, 2021, 56(9): 1285-1292.

HAO Ruixia, LI Yuling, XU Yong, YANG Lijie, HAN Xue. Study on the development and application effect of an intelligent negative emotion improvement program for patients with coronary heart disease[J]. Chinese Journal of Nursing, 2021, 56(9): 1285-1292.

图/表 6

表1 冠心病患者负性情绪智能化改善方案内容

Table 1 Contents of negative emotion improvement program for patients with coronary heart disease

图1 冠心病患者负性情绪智能化识别与干预流程

Figure 1 The process of intelligent indentification and intervention negative emotion in patients with coronary heart disease

表2 两组一般资料的比较（例）

Table 2 Baseline characteristics of patients（cases）

表3 干预前后两组焦虑、抑郁评分的比较（分,$\bar{x}$±s）

Table 3 Comparison of SAS scores and SDS scores between the two groups before and after intervention（scores,$\bar{x}$±s）

表4 两组干预前匹兹堡睡眠质量指数得分的比较[分,M（P25,P75）]

Table 4 Comparison of pittsburgh sleep scores before intervention between the two groups[scores,M（P25,P75）]

表5 两组干预后匹兹堡睡眠质量指数得分的比较[分,M（P25,P75）]

Table 5 Comparison of pittsburgh sleep scores after intervention between the two groups[scores,M（P25,P75）]

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