基于IMB理念的认知行为干预对慢性心力衰竭患者心功能及生活质量的影响
| 作者: |
1王平平,
1程骞,
1王雪
1 青岛市市立医院西院区干部保健科，青岛 266000 |
| 通讯: |
程骞
Email: 23467816@qq.com |
| DOI: | 10.3978/j.issn.2095-6959.2021.10.026 |
摘要
目的：探究基于以信息-动机-行为技巧(information-motivation-behavioral skills，IMB)模型理念的认知行为干预对慢性心力衰竭(chronic heart failure，CHF)患者心功能及生活质量的影响。方法：回顾性分析选取2019年1月至2020年3月青岛市市立医院收治的600例CHF患者的相关资料。根据不同的干预方式将其分为观察组与对照组，每组各300例。对照组采用的是常规护理干预，观察组采用基于IMB理念的认知行为干预及护理。入院时(护理前)及干预2个月后时(护理后)，采用6 min步行试验以及检测心肌酶[肌酸磷酸激酶(creatine phosphokinase，CK)、肌激酶同工酶(myokinase isoenzyme，CK-MB)、乳酸脱氢酶(lactate dehydrogenase，LDH)]、氨基末端脑钠肽前体(N-terminal pro-brain natriuretic peptide，NT-proBNP)对两组患者心功能进行评估；分别采用焦虑自评量表(Self-rating Anxiety Scale，SAS)、抑郁自评量表(Self-rating Depression Scale，SDS)比较两组心理状况，采用生活质量评分(Quality of Life Score，SF-36)评估两组护理前后生活质量情况，问卷调查两组患者护理满意度。结果：护理后，观察组6 min步行距离明显高于对照组，观察组心肌酶以及NT-proBNP指标、SAS、SDS评分均低于对照组，SF-36评分及护理满意度均高于对照组，差异均有统计学意义(均P<0.05)。结论：基于IMB理念的认知行为干预及护理对CHF患者的护理效果显著，有利于增强患者心功能，提高患者的生活质量，规范护理工作，值得临床推广。
关键词：
慢性心力衰竭患者；心功能；认知护理；信息-动机-行为技巧；生活质量
Effect of cognitive behavioral intervention based on IMB concept on cardiac function and quality of life in patients with chronic heart failure
CorrespondingAuthor: CHENG Qian Email: 23467816@qq.com
DOI: 10.3978/j.issn.2095-6959.2021.10.026
Abstract
Objective: To explore the effect of cognitive behavioral intervention based on information-motivation-behavioral skills (IMB) model on cardiac function and quality of life in patients with chronic heart failure. Methods: A retrospective analysis selected the relevant data of 600 patients with chronic heart failure in Qingdao Municipal Hospital from January 2019 to March 2020. According to different intervention methods, they were randomly divided into an observation group and a control group, each with 300 cases. The control group was given routine nursing intervention, and the observation group was given cognitive behavioral intervention based on IMB concept. At admission (before nursing) and 2 months after intervention (after nursing), a 6-minute walk test and detection of myocardial enzymes [creatine phosphokinase (CK), creatine kinase-myokinase isoenzyme (CK-MB), lactate dehydrogenase (LDH)] and N-terminal pro brain natriuretic peptide (NT proBNP) were used to evaluate the cardiac function of the two groups; the psychological status of the two groups was compared by Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS); the quality of life score (SF-36) was used to evaluate the quality of life of the two groups before and after nursing; the questionnaire surveyed the care satisfaction of the two groups of patients. Results: After nursing, the 6-minute walking distance of the observation group was significantly higher than that of the control group, the scores of myocardial enzymes, NT proBNP index, SAS, SDS scores of the observation group were lower than those of the control group, and the SF-36 score and nursing satisfaction were higher than those of the control group, the difference was statistically significant (P<0.05). Conclusion: Cognitive behavioral intervention and nursing based on IMB concept has a significant effect on the nursing of patients with chronic heart failure, which is conducive to enhancing the cardiac function of patients, improving their quality of life, and is worthy of clinical promotion.
Keywords：
patients with chronic heart failure; cardiac function; cognitive nursing; information motivation behavior skills; quality of life