认知行为疗法联合协同护理干预在扩张型心肌病患者中的应用效果

目的探讨认知行为疗法(CBT)联合协同护理干预在扩张型心肌病(DCM)患者中的应用效果。方法选择我院收治的103例DCM患者为研究对象,依照入院时间不同将其分为对照组(51例)和联合组(52例)。对照组给予常规护理干预,联合组于常规护理基础上给予CBT联合协同护理干预。比较两组患者的干预效果。结果联合组总依从率为94.23%,高于对照组的70.59%(P<0.05)。干预后,两组社会功能、精神健康、生理机能、生理职能评分均提高,且联合组高于对照组(P<0.05)。干预后,两组SDS、SAS评分均降低,且联合组低于对照组(P<0.05)。联合组的满意度高于对照组(P<0.05)。结论 CBT联合协同护理干预应用于DCM患者,能缓解焦虑、抑郁情绪,改善其生活质量,提高患者依从性及满意度。

Application effect of cognitive behavior therapy combined with collaborative nursing intervention in patients with dilated cardiomyopathy

Objective To explore the application effect of cognitive behavioral therapy(CBT) combined with collaborative nursing intervention in patients with dilated cardiomyopathy(DCM). Methods A total of 103 DCM patients admitted in our hospital were selected as the study objects and divided into control group(51 cases) and combined group(52 cases) according to the different time of admission. The control group was given routine nursing intervention, while the combined group was given CBT combined with collaborative nursing intervention on the basis of routine nursing. The intervention effects of the two groups were compared. Results The total compliance of the combined group was 94.23%,which was higher than 70.59% of the control group(P<0.05). After intervention, the scores of social function, mental health,physical functioning and role-physical in the two groups improved, and those in the combined group were higher than the control group(P<0.05). After intervention, the scores of SDS and SAS in both groups decreased, and those in the combined group were lower than the control group(P<0.05). The satisfaction of the combined group was higher than that of the control group(P<0.05). Conclusion The application of CBT combined with collaborative nursing intervention in DCM patients can alleviate anxiety and depression, ameliorate quality of life, improve compliance and satisfaction of patients.