摘要
目的:分析多视角父母-成人-儿童(Parent-Adult-Child,PAC)心理弹性理论在冠心病经皮冠状动脉介入术(PCI)治疗患者中的应用效果。方法:遴选2021年6月-2023年6月收治的冠心病PCI介入术治疗患者110例为研究对象,采用随机数字表法分为常规组(n=55,采用常规护理干预)和PAC组(n=55,采取多视角PAC心理弹性理论护理干预),比较两组干预前后负性情绪(负性情绪筛查量表)、心理弹性(心理弹性量表)、创伤后成长(创伤后成长评定量表)、自我效能(中文版康复自我效能感量表)及生活质量[生命质量测定量表体系之冠心病量表(QLICD-CHD)]变化。结果:干预后,两组负性情绪中患病恐惧、抑郁、躯体化、愤怒评分均显著降低(t_(常规)=3.182,2.546,4.051,5.496,t_(PAC)=6.166,6.144,6.471,9.176;P<0.05),且PAC组显著低于常规组(t=2.957,3.359,2.952,2.979;P<0.05);干预后,两组心理弹性量表中坚韧、力量、乐观评分均显著提高(t_(常规)=4.866,4.404,3.589,t_(PAC)=8.556,7.557,7.599;P<0.05),且PAC组显著高于常规组(t=2.503,2.899,3.745;P<0.05);干预后,两组创伤成长量表中人际关系、新可能性、个人力量、精神改变、欣赏生活评分均显著提高(t_(常规)=2.387,3.406,3.227,2.996,14.577,t_(PAC)=5.253,6.926,5.664,7.919;P<0.05),且PAC组显著高于常规组(t=2.547,2.527,3.140,3.022,3.253;P<0.05);干预后,两组自我效能量表中应对自我效能、任务自我效能评分均显著升高(t_(常规)=5.740,4.132,t_(PAC)=10.036,7.439;P<0.05),且PAC组显著高于常规组(t=3.673,2.831;P<0.05);干预后,两组QLICD-CHD量表中躯体功能、心理功能、社会功能、特异模块评分均显著升高(t_(常规)=3.246,2.575,3.180,2.929,t_(PAC)=5.720,4.279,7.455,4.751;P<0.05),且PAC组显著高于常规组(t=3.424,2.633,4.314,2.602;P<0.05)。结论:多视角PAC心理弹性理论指导冠心病PCI介入术患者护理干预,可显著改善其负面情绪、心理弹性及创伤后成长,提升其自我效能及生活质量。
Objective:To analyze the application effect of multi-perspective Parent-Adult-Child(PAC)psychological resilience theory in patients with coronary heart disease undergoing percutaneous coronary intervention(PCI).Methods:A total of 110 patients with coronary heart disease undergoing PCI from June 2021 to June 2023 were selected as the study subjects,and were divided into conventional group(n=55,conventional nursing intervention)and PAC group(n=55,multi-perspective PAC psychological resilience theory nursing intervention)by the random number table method.The changes in negative emotions(Negative Emotion Screening Scale),psychological resilience(Psychological Resilience Scale),post-traumatic growth(Post-Traumatic Growth Rating Scale),self-efficacy(Chinese Version of Rehabilitation Self-Efficacy Scale),and quality of life[Quality of Life Instruments for Chronic Heart Disease(QLICD-CHD)]were compared between the two groups before and after intervention.Results:After intervention,the scores of fear of disease,depression,somatization and anger of negative emotions in both groups were significantly decreased(t=3.182,2.546,4.051,5.496,6.166,6.144,6.471,9.176;P<0.05),and the scores in PAC group were significantly lower than those in conventional group(t=2.957,3.359,2.952,2.979;P<0.05).The scores of tenacity,strength and optimism of Psychological Resilience Scale in the two groups were significantly increased after intervention(t=2.387,3.406,3.227,2.996,14.577,5.253,6.926,5.664,7.919;P<0.05),and the scores were significantly higher in PAC group than those in conventional group(t=2.547,2.527,3.140,3.022,3.253;P<0.05).After intervention,the scores of interpersonal relationship,new possibility,personal strength,mental change and appreciation of life of Trauma Growth Rating Scale significantly increased in both groups(t=2.387,3.406,3.227,2.996,14.577,5.253,6.926,5.664,7.919;P<0.05),and the scores in PAC group were significantly higher(t=2.547,2.527,3.140,3.022,3.253;P<0.05).The scores of coping self-efficacy and task self-efficacy of Self-Efficacy Scale were significantly enhanced in both groups after intervention(t=5.740,4.132,10.036,7.439;P<0.05),and the scores were significantly higher in PAC group compared to conventional group(t=3.673,2.831;P<0.05).After intervention,the scores of physical function,psychological function,social function and specific module of QLICD-CHD scale were significantly elevated in the two groups(t=3.246,2.575,3.180,2.929,5.720,4.279,7.455,4.751;P<0.05),and the scores in PAC group were significantly higher than those in conventional group(t=3.424,2.633,4.314,2.602;P<0.05).Conclusion:Multi-perspective PAC psychological resilience theory in guiding nursing intervention of patients with coronary heart disease undergoing PCI can significantly improve the negative emotions,psychological resilience and post-traumatic growth,and enhance the self-efficacy and quality of life.
作者
张雯雯
胡月
黄秋霞
ZHANG Wenwen;HU Yue;HUANG Qiuxia(Cardiovascular Surgery Intensive Care Unit,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Cardiovascular Surgery,First Affiliated Hospital of Zhengzhou University)
出处
《中国健康心理学杂志》
2024年第6期909-913,共5页
China Journal of Health Psychology
基金
河南省医学科技攻关计划联合共建项目和软科学项目(编号:LHGJ20210315)。
