Effect of narrative therapy on uncertainty in illness and health-related behaviors of patients after radiofrequency ablation of atrial fibrillation#br#
DING Lan WANG Lin LAI Juju
Department of Cardiology, Jiangsu Province Hospital, Jiangsu Province, Nanjing 210000, China
Abstract:Objective To explore the application effect of narrative therapy in patients with atrial fibrillation after radiofrequency ablation. Methods A total of 85 patients after radiofrequency ablation of atrial fibrillation admitted to Jiangsu Province Hospital from July 2019 to August 2020 were selected. Using the random number table method, they were divided into treatment group and control group, 43 cases in the treatment group and 42 cases in the control group. The control group was given regular health education and nursing intervention, and the treatment group was combined with narrative therapy. After six months follow-up, the two groups were compared with uncertainty in illness, health-related life and quality of life. Results After six months of follow-up, the scores of inconsistency, complexity, unpredictability, and disease uncertainty in two groups were lower than before those intervention, and those in treatment group were lower than those in control group (P < 0.05); the scores of medication compliance, regular monitoring, healthy lifestyle, and health-related behavior in both groups were higher than those before intervention, and those in treatment group were higher than those in control group (P < 0.05); the scores of physiological dimension, psychological dimension, sexual dimension, and quality of life of the two groups were higher than before intervention, and the treatment group was higher than the control group (P < 0.05). Conclusion Narrative therapy can help relieve the uncertainty of patients after radiofrequency ablation of atrial fibrillation, promote the development of health-related behaviors, and improve the quality of life of patients.
丁岚 王琳 来菊菊. 叙事疗法对心房颤动射频消融术后患者疾病不确定感及健康相关行为的影响[J]. 中国医药导报, 2022, 19(8): 161-164.
DING Lan WANG Lin LAI Juju. Effect of narrative therapy on uncertainty in illness and health-related behaviors of patients after radiofrequency ablation of atrial fibrillation#br#. 中国医药导报, 2022, 19(8): 161-164.
[1] 刘萍,王艳玲,孙婷婷,等.多学科协作随访模式在心房颤动患者射频消融术后空白期的应用[J].中国医药导报,2021,18(11):73-77.
[2] 郑晓圆,沈珑,韦兆玲,等.抗凝团队在房颤患者围术期抗凝宣教中的作用和价值[J].中国药师,2019,22(2):287-290.
[3] Raghuraman S,Stuttard N,Hunt N. Evaluating narrative exposure therapy for post-traumatic stress disorder and depression symptoms:A meta-analysis of the evidence base [J]. Clin Psychol Psychother,2021,28(1):1-23.
[4] 王茹霜,孙虎,盛丹丽,等.叙事家庭疗法在老年卒中后非痴呆认知障碍患者延续护理中的应用[J].中国中西医结合急救杂志,2019,26(1):101-104.
[5] January CT,Wann LS,Calkins H,et al. 2019 AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation A Rport of the American Collgeg of Cardiology [J]. Heart rhythm, 2019,16(8):E66-E93.
[6] 许艳,徐菁.多元化健康教育对心房颤动射频消融术治疗患者健康相关知识及自我管理行为的影响[J].医学临床研究,2019,36(12):2452-2454.
[7] 陈云霞.知信行模式对提高房颤患者生活质量的作用[J].西部中医药,2016,29(5):107-109.
[8] Mishel MH. The measurement of uncertainty in illness [J]. Nurs Res,1981,30(5):258-263.
[9] 张诚霖,杨小芳,卢冰清,等.心房颤动患者生命质量量表的汉化及信效度检验[J].中国实用护理杂志,2017,33(19):1441-1445.
[10] 胡志成,蒋超,刘尚雨,等.中国心房颤动介入治疗现况与质量分析[J].中华心血管病杂志,2021,49(3):224-228.
[11] 马彦卓,侯广道,汝磊生,等.消融指数指导下射频消融术治疗心房颤动的效果研究[J].实用心脑肺血管病杂志,2020,28(5):7-11.
[12] 曹达魁,王海琴.化疗联合射频消融术或阿帕替尼对中晚期非小细胞肺癌的疗效研究[J].中国现代医生,2020, 58(31):84-87,封3.
[13] 冯天捷,翁思贤,周彬,等.持续性心房颤动消融前后左心功能的改变及复发相关因素分析[J].疑难病杂志,2021, 20(5):456-460.
[14] 耿益,李欣,居维竹,等.叙事医学模式在老年心房颤动射频消融术患者健康教育中的应用[J].中国医药导报,2021,18(25):166-169.
[15] 周晓娟,张理想,周足金,等.认知行为干预对房颤患者射频消融术后疾病不确定感的影响[J].当代临床医刊,2019,32(6):529-530.
[16] 许志英,林梅,葛红玥.多水平模型在射频消融术后心房颤动病人心理弹性纵向研究中的应用[J].护理研究,2021,35(1):67-73.
[17] 田洁,张臣,赵蕾,等.心脏磁共振特征追踪技术对心房颤动患者经导管射频消融术后复发的预测价值[J].疑难病杂志,2021,20(12):1220-1223,1233
[18] 王芳,韩文,薛顺和.射频消融术对早期肝癌患者肿瘤复发率和生存率的影响[J].现代消化及介入诊疗,2020, 25(5):644-648.
[19] 孙海利,杨雪颖.微信主导的多元化健康教育在幽门螺杆菌阳性消化性溃疡患者中的应用[J].中国医药导报,2020,17(35):160-1645.
[20] 张鲁敏,顾芬,任皎皎,等.叙事护理对COPD患者焦虑抑郁及生活质量的影响[J].护理学报,2019,26(7):65-69.
[21] Shakeri J,Ahmadi SM,Maleki F,et al. Effectiveness of Group Narrative Therapy on Depression, Quality of Life, and Anxiety in People with Amphetamine Addiction:A Randomized Clinical Trial [J]. Iran J Med Sci,2020,45(2):91-99.
[22] 郭晓萍,曹美嫦,曾满萍,等.叙事疗法对晚期癌症患者希望水平及心理状态的影响[J].湖南师范大学学报:医学版,2019,16(5):1-3.
[23] 石佩玉.叙事疗法对永久性肠造口患者病耻感影响的研究[J].中华护理杂志,2019,54(8):1125-1129.
[24] 张金梅,傅娟,李玉梅,等.叙事疗法对肺癌化疗患者癌症复发恐惧感及希望水平的影响[J].中国肿瘤临床与康复,2021,28(6):733-736.
[25] 赵敏,薛晓燕.叙事疗法对妇科恶性肿瘤患者病耻感的影响研究[J].中国老年保健医学,2020,18(3):146-148.
[26] 张宽新,屈清荣,石佩玉,等.叙事疗法对永久性肠造口患者病耻感影响的研究[J].中华护理杂志,2019,54(8):1125-1129.
[27] Jalali F,Hashemi SF,Hasani A. Narrative therapy for depression and anxiety among children with imprisoned parents:A randomised pilot efficacy trial [J]. J Child Adolesc Ment Health,2019,31(3):189-200.
[28] 郑静.同伴教育对房颤经导管射频消融术后患者自我效能和再入院的影响[J].国际护理学杂志,2017,36(9):1243-1246.
[29] 薛亚玲,杨媚月,谢金婵.叙事疗法对中青年永久性造口患者创伤后应激、社交回避和自我管理水平的影响[J].齐鲁护理杂志,2021,27(10):101-104.
[30] 高倩,李晓敏,孙王乐贤,等.叙事疗法对冠心病患者健康促进生活方式的影响[J].中华护理教育,2019,16(10):787-791.