目标性社区护理对冠心病患者主观幸福感及负性情绪的影响.docVIP

精品论文 参考文献 目标性社区护理对冠心病患者主观幸福感及负性情绪的影响 王雨雪1 谭欣宇2（急诊科） 乔芳3 　　（中南大学湘雅医院（干部医疗保健办公室） 湖南 长沙 410012） 　　【摘 要】目的：探讨目标性社区护理对冠心病患者主观幸福感及负性情绪的影响。方法：2012年1月至2014年1月选取在本社区建立个人档案的128例冠心病患者为研究对象，根据随机数字表将患者分为观察组及对照组各64例，对照组给予常规性社区护理，观察组给予目标性社区护理，干预时间为3个月。干预前后应用自行设计的冠心病患者遵医行为问卷、汉密尔顿焦虑量表（HAMA）评分、汉密尔顿抑郁量表（HAMD）及总体幸福感量表（GWB）对两组患者遵医行为、负性情绪及幸福感进行评价。结果：观察组干预后合理饮食、合理作息、运动锻炼、情绪控制、遵医用药等知识评分显著高于对照组（Plt;0.05）。观察组干预后HAMA、HAMD评分低于对照组，而GWB高于对照组（Plt;0.05）。结论：目标性社区护理能有效改善冠心病患者负性情绪，提高患者遵医行为及幸福感。 　　【关键词】目标性社区护理；冠心病；主观幸福感；负性情绪 　　【中图分类号】R473.2 【文献标识码】B 【文章编号】1004-6194（2015）01-0327-02 　　The impact of SWB and negative emotions of targeted community care in patients with coronary heart disease 　　【Abstract】Objective: To investigate the impact of SWB and negative emotions of targeted community care in patients with coronary heart disease.Methods: 128 cases of patients with coronary heart disease were divided into observation group(n=64) and control group(n=64) from January 2012 to January 2014.The control group were given routine community care and observation group were given the goal of community care.The intervention time was three months.The questionnaire, self-designed application compliance behavior of patients with coronary heart disease were evaluated with Hamilton Anxiety Scale (HAMA) score, Hamilton Depression Rating Scale (HAMD), and overall well-being Scale (GWB).Results: The proper diet, reasonable rest, exercise, emotional control, compliance with medication and other medical knowledge score of observation group were higher than control groups (Plt;0.05). The HAMA, HAMD scores of observation group were lower than control group (Plt;0.05).The GWB scores of observation groups were higher than control groups (Plt;0.05).Conclusion: The goal of community care can effectively improve the negative mood in patients with coronary heart disease, improve patient compliance behavior and happiness. 　　【Keywords】targeted community care; coronary heart disease; SWB; negative emotions 　　冠心病是我国老