人文关怀联合动机性访谈干预对慢性心力衰竭患者心理状态及应对方式的影响

摘要/Abstract

摘要： 目的探究人文关怀联合动机性访谈干预对慢性心力衰竭（CHF）患者心理状态及应对方式的影响。方法选取2022年1月—2022年12月东南大学附属中大医院收治的124例CHF患者为研究对象,采用随机数表法将其分为对照组（n=62）和观察组（n=62）,对照组进行常规人文关怀干预,观察组在对照组的基础上联合动机性访谈干预。探究两组患者干预前、干预3个月后心理状态[抑郁-焦虑-压力量表（DASS-21）]、应对方式[简易应对方式问卷（SCSQ）]、心理弹性[康纳-戴维森韧性量表（CD-RISC）]、幸福感[Campbell幸福感指数量表（IWB）]的差异。结果干预3个月后,两组患者抑郁、焦虑、压力评分均较干预前降低,且观察组低于对照组,差异有统计学意义（P<0.05）;干预3个月后,两组患者积极应对评分均较干预前升高、消极应对评分较干预前降低,且观察组积极应对评分高于对照组、消极应对评分低于对照组,差异有统计学意义（P<0.05）;干预3个月后,两组患者坚韧、自强、乐观评分以及总体情感指数平均分、生活满意度问卷得分均较干预前升高,且观察组高于对照组,差异有统计学意义（P<0.05）。结论通过人文关怀联合动机性访谈干预的方式,能够显著改善CHF患者心理状态与弹性,使患者更积极地面对应激情况,增强幸福感。

关键词: 人文关怀, 机动性访谈, 心理状态, 应对方式, 慢性心力衰竭

Abstract: Objective To explore the effects of humanistic care combined with motivational interview intervention on psychological state and coping style of patients with chronic heart failure (CHF). Methods A total of 124 CHF patients admitted to Zhongda Hospital Affiliated to Southeast University from January 2022 to December 2022 were selected as the study objects, and they were divided into control group (n=62) and observation group (n=62) by random number table method. The control group received routine humanistic care intervention, and the observation group combined motivational interview intervention on the basis of the control group. To explore the differences of mental state [Depression-Anxiety-Stress Scale (DASS-21)], coping style [SCSQ], mental resilience [Conner-Davidson Resilience Scale (CD-RISC)] and well-being [Campbell Well-being Index Scale (IWB)] between the two groups before intervention and 3 months after intervention. Results After 3 months of intervention, the scores of depression, anxiety and stress in 2 groups were lower than before intervention, and the observation group was lower than the control group (P<0.05). After 3 months of intervention, the positive coping scores in both groups were higher than before intervention, and the negative coping scores were lower than before intervention, and the positive coping scores in the observation group were higher than those in the control group and the negative coping scores were lower than those in the control group (P<0.05). After 3 months of intervention, the scores of resilience, self-reliance, optimism, the average score of general emotion index and the score of life satisfaction questionnaire in 2 groups were higher than before intervention, and the observation group was higher than the control group (P<0.05). Conclusion The combination of humanistic care and motivational interview intervention can significantly improve the psychological state and resilience of CHF patients, make them face the stress more actively, and enhance their happiness.

Key words: humanistic care, dynamic interview, psychological states, coping style, chronic cardiac failure

中图分类号:

R541.61

马向南, 焦宁冀, 牛娅. 人文关怀联合动机性访谈干预对慢性心力衰竭患者心理状态及应对方式的影响[J]. 中华养生保健, 2025, 43(9): 113-117.

MA Xiang-nan, JIAO Ning-ji, NIU Ya. Influence of Humanistic Care Combined with Motivational Interview Intervention on Psychological State and Coping Style of Patients with Chronic Heart Failure[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(9): 113-117.

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