自我效能干预联合正念减压训练对老年重症心力衰竭患者不良心理状态及护理满意度的影响

目的探讨自我效能干预联合正念减压训练对老年重症心力衰竭患者不良心理状态及护理满意度的影响.方法将120例老年重症心力衰竭患者依据建档顺序分为两组,每组60例,均予以常规护理干预,实验组在此基础上予以自我技能干预联合正念减压训练,观察住院全程.干预前后采用焦虑自评量表、抑郁自评量表评估负性情绪,自制遵医行为调查量表评估遵医行为,一般自我效能量表评估自我效能感,生活质量综合评定问卷评估生活质量,自制护理服务满意度调查量表评估护理服务满意度.结果干预后实验组焦虑自评量表、抑郁自评量表评分均显著低于对照组(P<0.01),遵医行为率(96.7%)、护理总满意度(98.3%)显著高于对照组(85.0%、86.7%)(P<0.05),一般自我效能量表及生活质量综合评定问卷各维度评分显著高于对照组(P<0.01).结论对老年重症心力衰竭患者予以自我效能干预联合正念减压训练,可显著缓解患者的不良心理状态,提高自我效能感、遵医行为、生活质量及护理满意度.

Effects of self-efficacy intervention combined with mindfulness decompression training on adverse psychological state and nursing satisfaction of elderly patients with severe heart failure

Objective To explore the effect of self-efficacy intervention combined with mindfulness decompression training on adverse psychological state and nursing satisfaction of elderly patients with severe heart failure.Methods 120 elderly patients with severe heart failure were divided into two groups according to the order of filing,60 cases in each group.The control group was given routine nursing intervention.On this basis,the experimental group was given self-efficacy intervention combined with mindfulness decompression training.Observed the whole course of hospitalization.Before and after the intervention,SAS and SDS were used to evaluate negative emotions,self-made compliance survey questionnaire was used to assess compliance rate,GSES was used to assess self-efficacy,GQOLI-74 was used to assess quality of life,and self-made nursing service satisfaction survey was used to evaluate nursing service satisfaction.Results After the intervention,the SAS and SDS scores of the experimental group were significantly lower than those of the control group(P<0.01),and the compliance rate(96.7%)and.the total satisfaction degree of care(98.3%)were significantly higher than the control group(85.0%,86.7%)(P<0.05).The scores of GSES and GQOLI-74 were significantly higher than those of the control group(P<0.01).Conclusions Self-efficacy intervention combined with mindfulness decompression training for elderly patients with severe heart failure can significantly alleviate patients'adverse psychological state,effectively improve sel-efficacy,compliance rate,and significantly improve the quality of life.And patients'satisfaction with nursing services is higher.