The role of cognitive behavioral intervention in nursing of hospitalized patients with coronary heart disease
认知行为干预在住院冠心病患者护理中的作用

摘要

目的 浅析认知行为干预在住院冠心病患者护理中的应用效果。方法 筛选2023年3月-2023年12月期间本院住院部72例冠心病患者实施分组研究，分组方式为电脑随机抽签法，组别设置为对照组与研究组，每组各纳入36例。对照组直接采用常规护理，研究组在常规护理基础上给予认知行为干预，从两组患者干预前后情绪状态及健康知识知晓率两个方面分析认知行为干预应用效果。结果 干预前，对比两组患者情绪状态评分并无明显区别（P＞0.05），干预后，与对照组相比，研究组HAMA、HAMD评分更低，经 t检验，组间差异显著（P＜0.05）；此外，研究组健康知识知晓率与对照组相比更高，经χ2检验，组间差异显著（P＜0.05）。结论 在住院冠心病患者护理中实施认知行为干预，可有效改善患者情绪状态，同时提高患者对治疗与护理的配合，有助于保障治疗效果。

Abstract

Objective To analyze the effect of cognitive behavior intervention in nursing care of hospitalized patients with coronary heart disease.
Methods 72 patients with coronary heart disease in the inpatient department of our hospital from March 2023 to December 2023 were selected and grouped into control group and study group by computer random drawing method, and 36 cases were included in each group. The control group received conventional nursing directly, while the research group received cognitive behavioral intervention on the basis of conventional nursing. The effects of cognitive behavioral intervention were analyzed from the aspects of emotional state and health knowledge awareness rate of patients before and after intervention.
Results Before intervention, there was no significant difference in emotional state scores between the two groups (P > 0.05). After intervention, HAMA and HAMD scores in the study group were lower than those in the control group, and the difference between the two groups was significant through t test (P < 0.05). In addition, the health knowledge awareness rate of the study group was higher than that of the control group, and the χ2 test showed a significant difference between the groups (P < 0.05).
Conclusion   The implementation of cognitive behavior intervention in the nursing of hospitalized patients with coronary heart disease can effectively improve the emotional state of patients, and improve the cooperation of patients with treatment and nursing, which is helpful to ensure the therapeutic effect.