认知行为干预对房颤服用华法令患者自我管理能力的影响.docVIP

认知行为干预对房颤服用华法令患者自我管理能力的影响 　　摘要： 目的 探讨认知行为干预对心房颤动服用华法令患者自我管理能力的影响。方法 将我科住院的80例心房颤动接受华法令治疗的患者随机分为干预组和对照组各40例，对照组采用常规护理和健康教育，干预组在此基础上通过幻灯片讲解，纸质版健康教育处方、出院后随访等方式进行认知干预和行为干预。分别在干预3个月后对患者进行评估，即评估患者对服药、饮食、监测INR值、并发症等方面的自我管理能力。结果 干预后两组患者对心房颤动的疾病及用药等知识和自我管理能力均有提高，观察组知识掌握和自我管理能力评分显著高于对照组（P0.05）。结论 采用认知行为干预可显著提高患者的自我管理能力，提高对疾病的主观能动性，从而使患者的INR水平维持在稳态，减少并发症的发生。 　　关键词：认知行为干预；心房颤动；华法令；自我管理能力 　　Cognitive Behavioral Intervention in Patients with Atrial Fibrillation taking Warfarin Self-management Ability 　　YI Xiao-hong，WEI Chan-juan，QI Hong-mei，DONG Li-jie 　　（The First Affiliated Hospital of Nanchang University，Nanchang 330006，Jiangxi，China） 　　Abstract：Objective To explore the cognitive behavioral intervention in patients with atrial fibrillation taking warfarin self-management ability. Methods Will my family hospital 80 cases of atrial fibrillation in patients receiving warfarin therapy were randomly divided into intervention group and control group， 40 cases in the control group using conventional care and health education， intervention group on the basis of through slides explain， print the health education prescription， in the form of follow-up after discharge and cognitive intervention and behavior intervention. Respectively to evaluate patients after intervention for 3 months， assessing patients on medication， diet， monitor INR value and complications of self management ability. Results Two groups after the intervention of atrial fibrillation in patients with disease and drug knowledge and self-management ability were increased， the observation group knowledge and self-management ability score is significantly higher than control group （P 0.05）. Conclusion Using cognitive behavioral intervention can significantly improve patients self management ability， improve the subjective initiative of disease， so as to keep the patients level of INR in steady state， reduce the occurrence of complications. 　　Key words：Cognitive behavioral intervention ；Atrial fibrillation ；warfari