基于认知行为疗法的自我管理教育在心脏机械瓣膜置换术后患者中的应用效果

doi:10.20047/j.issn1673-7210.2023.09.33

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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.

Key words： Mechanical heart valve replacement Cognitive behavioral therapy Disease uncertainty Self-management ability

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	GENG Dandan GUAN Yuzhen▲ ZHOU Jingxin

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GENG Dandan GUAN Yuzhen▲ ZHOU Jingxin. Application of self-management education based on cognitive behavioral therapy in patients after mechanical heart valve replacement[J]. 中国医药导报, 2023, 20(9): 150-155.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.09.33 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I9/150

[1] Azari S，Rezapour A，Omidi N，et al. A systematic review of the cost-effectiveness of heart valve replacement with a mechanical versus biological prosthesis in patients with heart valvular disease [J]. Heart Fail Rev，2020，25（3）：495-503.
[2] 赵伟，郑哲.50至70岁心脏瓣膜置换患者瓣膜选择与长期预后[J].中国心血管病研究，2020，18（4）：330-333.
[3] 王婉玲，牟绍玉，牟绍兰，等.心脏机械瓣膜置换术患者自我管理影响因素的研究[J].中国实用护理杂志，2018， 34（18）：1365-1369.
[4] Apolinario-Hagen J，Druge M，Fritsche L. Cognitive Behavioral Therapy，Mindfulness-Based Cognitive Therapy and Acceptance Commitment Therapy for Anxiety Disorders：Integrating Traditional with Digital Treatment Approaches [J]. Adv Exp Med Biol，2020，53（1191）：291-329.
[5] Willams BA，Doddamani S，Troup MA，et al. greement between heart failure patients and providers in assessing New York Heart Association functional class [J]. Heart Lung，2017，46（4）：293-299.
[6] Baumgartner H，Falk V，Bax JJ，et al. ESC Scientific Document Group. 2017 ESC/EACTS guidelines for the management of valvular heart disease [J]. Eur Heart J，2017，38（36）：2739-2791.
[7] Mishel MH. The measurement of uncertainty in illness [J]. Nurs Res，1981，30（5）：258-263.
[8] 牟绍兰，邓乾素，牟绍玉，等.基于德尔菲法编制心脏机械瓣膜置换术后患者自我管理评估指标[J].护理学杂志，2016，31（18）：36-39.
[9] 张斌，许海燕，高润霖，等.中国老年瓣膜性心脏病不同性别住院患者的流行病学特点：一项全国性多中心横断面研究[J].中国医刊，2020，55（1）：26-30.
[10] Javan L，Kazemnejad A，Nomali M，et al. Effect of Self- Management Program on Self-efficacy and Medication Adherence in Patients with Mechanical Heart Valve：a Randomized Clinical Trial [J]. J Caring Sci，2019，8（4）：207- 211.
[11] 陈亚丹，张玉丽，朱海华.心脏机械瓣膜置换术后患者居家自我管理行为现况调查[J].中国卫生标准管理，2020， 11（6）：163-165.
[12] 张艳阳，王燕斐.合理情绪疗法结合心理认知行为干预对老年心脏瓣膜置换术后患者心理状态及疾病不确定感的影响[J].临床医学研究与实践，2021，6（6）：149- 151.
[13] Rosner R，Rimane E，Vogel A，et al. Treating prolonged grief disorder with prolonged grief-specific cognitive behavioral therapy：study protocol for a randomized controlled trial [J]. Trials，2018，19（1）：241.
[14] Darnall DD，Mackey SC，Lorig K，et al. Comparative Effectiveness of Cognitive Behavioral Therapy for Chronic Pain and Chronic Pain Self-Management within the Context of Voluntary Patient-Centered Prescription Opioid Tapering：The EMPOWER Study Protocol [J]. Pain Med，2020，21（8）：1523-1531.
[15] 张苹，张小满，陈莉军，等.认知行为疗法对癌症患者非正式照顾者生活质量及抑郁情绪的影响的系统评价[J].中国医药导报，2019，16（7）：161-165.
[16] Sharkey CM，Perez MN，Bakula DM，et al. Exploratory Factor Analysis of the Mishel Uncertainty in Illness Scale Among Adolescents and Young Adults With Chronic Medical Conditions [J]. J Pediatr Health Care，2019，33（2）：186- 194.
[17] 高杰，张会敏，孙羽燕，等.应对方式在中青年缺血性脑卒中患者社会支持与疾病不确定感间的中介效应[J].解放军护理杂志，2021，38（2）：6-9.
[18] Edwards KS，Chow EKH，Dao C，et al. Impact of cognitive behavioral therapy on depression symptoms after transcatheter aortic valve replacement：A randomized controlled trial [J]. Int J Cardiol，2020，321：61-68.
[19] Yang Y，Zhang HB，Li YL，et al. The effectiveness of computer-assisted Cognitive Behavioral Therapy （cCBT） for psychological outcomes in patients with laryngectomy：Randomized Controlled Trial [J]. J Affect Disorders，2021，42（12）：59-65.
[20] 张永春，李海琳，李业涛，等.人工智能辅助华法林抗凝自我管理系统可靠性评价的前瞻性队列研究[J].中国胸心血管外科杂志，2021，28（5）：504-509.
[21] 章培，居海岭，虞荣斌，等.老年患者心脏机械瓣膜置换术后早期华法林抗凝治疗依从性及其影响因素[J].中华老年医学杂志，2021，40（2）：168-172.
[22] 陈宗皓，张海波，李岩，等.术前血清HMGB1，MFG-E8，CysC水平与心脏瓣膜置换术后急性肾损伤发生的相关性分析[J].疑难病杂志，2022，21（8）：809-814.
[23] 龚建平，梁秀生，李伟超，等.4∶1含血停搏液与组氨酸-色氨酸-酮戊二酸液在心脏瓣膜置换术中的应用效果[J].中国当代医药，2022，29（10）：14-19.
[24] Christensen ER，Golden SL，Gesell SB. Perceived Benefits of Peer Support Groups for Stroke Survivors and Caregivers in Rural North Carolina [J]. NC Med J，2019，80（3）：143- 148.
[25] 方珍，李静丹，吴丹红，等.智能化小打卡程序在乳腺癌术后早期功能锻炼中的应用[J].中国现代医生，2021， 59（19）：172-174，178.
[26] Coronado RA，Master H，Bley J，et al. Influence of goal attainment scaling on cognitive behavioral based physical therapy outcomes after lumbar spine surgery [J]. Spine J，2021，21（9S）：46-53.
[27] Guo YF，Lam L，Plummer V，et al. A WeChat-based “Three Good Things” positive psychotherapy for the improvement of job performance and self-efficacy in nurses with burnout symptoms：A randomized controlled trial [J]. J Nurs Manag，2020，28（3）：480-487.
[28] 施建秋，马小艳.认知行为式自我管理对产后盆底康复患者治疗依从性的影响[J].中国妇幼健康研究，2018， 29（6）：705-709.