摘要
目的探讨归因训练在老年心脏瓣膜置换术(HVR)患者中的应用效果。方法选择2018年5月至2020年5月我院收治的老年HVR患者113例,采用分层随机法分为观察组57例与对照组56例。对照组给予常规护理干预及健康教育,观察组联合应用归因训练。出院6个月,比较两组患者归因方式与自我管理能力。结果观察组老年HRV患者正性事件、人际事件、成就事件、内外维度评分高于对照组,负性事件、宿命维度评分低于对照组(P<0.05);症状管理、治疗依从性管理、日常生活管理、情绪管理、自我效能管理、自我管理能力总分高于对照组(P<0.05)。结论归因训练有助于引导老年HRV患者形成积极的归因倾向,促进自我管理能力的养成。
Objective To investigate theapplication effect of attribution training in elderly patients undergoing heart valve replacement(HVR).Methods One hundred and thirteen elderly HRV patients from May 2018 to May 2020 were selected.The patients were divided into an observation group(n=57)and a control group(n=56).The control group was given routine nursing intervention and health education while the observation group was added the attribution training.After 6 months of discharge,attribution style and self-management ability were compared between the two groups.Results The scores of positive events,interpersonal events,achievement events,internal and external dimensions in the observation group were higher than those in the control group while the scores of negative events and destiny dimensions were lower than those in the control group(P<0.05).The total scores of symptom management,treatment compliance management,daily life management,emotional management,self-efficacy management,and self-management ability in the observation group were higher than those in the control group(P<0.05).Conclusion The attribution training can help guide the elderly HRV patients to form the positive attribution tendency,and promote the development of self-management ability.
作者
高莹莹
刘长红
刘鸿
王蔚云
沙璐璐
陆媛
许睿
GAO Ying-ying;LIU Chang-hong;LIU Hong;WANG Wei-yun;SHA Lu-lu;LU Yuan;XU Rui(Department of Cardiovascular Surgery,Jiangsu Provincial Hospital,The First Affiliated Hospital of Nanjing Medical University,Nanjing 210000,China)
出处
《实用医院临床杂志》
2021年第6期11-14,共4页
Practical Journal of Clinical Medicine
基金
国家自然科学基金资助项目(编号:82000305)。
关键词
老年
心脏瓣膜置换术
归因训练
归因方式
自我管理能力
Elderly
Heart valve replacement
Attribution training
Attribution style
Self-management ability
