Abstract：Objective To explore the application effect of self-management education based on cognitive behavioral therapy in patients after mechanical heart valve replacement (MHVR). Methods A total of 93 MHVR patients in the Department of Cardiac Great Vascular Surgery Ward, Jiangsu Provincial People’s Hospital from July 2018 to July 2020 were selected as the study subjects, and they were divided into control group 46 cases and experimental group 47 cases by random number table method. The control group received conventional self-management education, and the experimental group received self-management education based on cognitive behavioral therapy. After six months of intervention, disease uncertainty, self-management ability and complications were compared between the two groups. Results After intervention, the scores disease of uncertainty, inconsistency, complexity, unpredictability and disease uncertainty total score in two groups were lower than those before intervention, and the experimental group was lower than the control group, and the differences were statistically significant (P＜0.05); the scores of symptom management, treatment compliance management, daily life management, emotion management, information management, self-efficacy management and self-management ability total score of the two groups were higher than those before intervention, and the scores of symptom management, daily life management, emotion management, information management, self-efficacy management and self-management ability of the experimental group were higher than those of the control group, and the differences were statistically significant (P＜0.05); the total incidence of postoperative complications in experimental group was lower than that in control group, and the difference was statistically significant (P＜0.05). Conclusion Cognitive behavioral therapy is helpful to alleviate the uncertainty of MHVR patients, promote the cultivation of self-management ability and reduce the incidence of postoperative complications.
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