Application of cognitive behavior intervention in nursing care of in patients with coronary heart disease
认知行为干预在住院冠心病患者护理中的应用研究

摘要

目的 对冠心病住院患者护理时实施认知行为干预的效果进行分析。方法 选取92例冠心病患者进行观察研究，其就诊时间分部在：2021年5月至2022年5月，入院后经确诊并采取住院治疗的方案控制病情，在此基础上将其随机分组，46例患者设定为对照组：常规护理干预，46例患者设定为观察组：认知行为护理干预，结合两组心血管不良事件发生情况、生活质量评分及健康行为依从性探究方案的可行性和有效性，从而总结患者住院期间的护理经验。结果 健康行为依从性方面：观察组干预后的合理饮食依从性、遵医嘱用药依从性等分别与对照组的依从性相比，数据均较高，（P＜0.05）。生活质量评分方面：不同护理方案应用于住院患者中，两组生活质量评分对比，数据差异性显著，观察组的生理机能、躯体疼痛等评分均较高，（P＜0.05）。心血管不良事件发生率方面：观察组和对照组相比，对照组的发生率显著较低，（P＜0.05）。结论 临床对冠心病患者实施住院治疗方案并应用认知行为护理干预措施，能够显著提升患者的健康行为依从性，保证治疗及护理效果，从而预防并降低一系列心血管不良事件发生率，改善预后。

Abstract

Objective: To analyze the effect of cognitive behavior intervention on in patients with coronary heart disease.
Methods: 92 patients with coronary heart disease were selected for observation and study. The duration of their visit was from May 2021 to may 2022. After admission, they were diagnosed and hospitalized to control their condition. On this basis, they were randomly divided into two groups. 46 patients were set as the control group: routine nursing intervention, and 46 patients were set as the observation group: cognitive behavior nursing intervention, combined with the occurrence of adverse cardiovascular events in the two groups To explore the feasibility and effectiveness of the program of quality of life score and health behavior compliance, so as to summarize the nursing experience of patients during hospitalization.
Results: in terms of health behavior compliance, the observation group had higher compliance with reasonable diet and medication according to the doctor's advice than the control group (P < 0.05). In terms of quality of life scores: when different nursing schemes were applied to inpatients, there were significant differences in the quality of life scores between the two groups. The scores of physiological function and physical pain in the observation group were higher (P < 0.05). The incidence of adverse cardiovascular events in the observation group was significantly lower than that in the control group (P < 0.05).
Conclusion  : the clinical implementation of inpatient treatment plan and cognitive behavior nursing intervention measures for patients with coronary heart disease can significantly improve the health behavior compliance of patients, ensure the treatment and nursing effect, so as to prevent and reduce the incidence of a series of adverse cardiovascular events and improve the prognosis.