探索心理教育干预在心房颤动消融治疗患者康复计划（CopenHeartRFA）中的有效性机制：一项混合方法研究。
Exploring the Mechanism of Effectiveness of a Psychoeducational Intervention in a Rehabilitation Program (CopenHeartRFA) for Patients Treated With Ablation for Atrial Fibrillation: A Mixed Methods Study.
机构信息
Signe Stelling Risom, RN, MSc, PhD Clinical Nurse Specialist and Associate Professor, Rigshospitalet, Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Copenhagen University Hospital, and Institute of Nursing, University College Copenhagen, Denmark. Johanne Lind, RN, MA, MPH Associate Professor, Institute of Nursing, University College Copenhagen, Denmark. Victoria Vaughan Dickson, RN, PhD Associate Professor, Rory Meyers College of Nursing, New York University. Selina Kikkenborg Berg, RN, MScN, PhD Professor and Senior Researcher, Rigshospitalet, Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Copenhagen University Hospital; Faculty of Health and Medical Sciences, University of Copenhagen; and National Institute of Public Health, University of Southern Denmark, Odense, Denmark.
出版信息
J Cardiovasc Nurs. 2019 Jul/Aug;34(4):336-343. doi: 10.1097/JCN.0000000000000584.
BACKGROUND
Patients treated for atrial fibrillation with an ablation can experience decreased mental health. Little is known about the effect of a psychoeducation intervention on this patient group.
OBJECTIVES
The aim of this study was to explore the effect of a psychoeducation intervention on patients' mental health after participating in a cardiac rehabilitation program, with a focus on elaborating on the lack of mental health improvements.
METHOD
Sequential explanatory mixed methods including secondary analysis of qualitative and quantitative data collected in a randomized rehabilitation trial was performed. Perceived health was measured by a questionnaire (n = 95), and qualitative interviews were performed (n = 10).
RESULTS
Patients scoring high on perceived health experienced positive effects of the intervention. Patients scoring low appear to have either low physical capacity and severe atrial fibrillation symptoms, bigger life issues, or lack of social support.
CONCLUSION
A more in-depth understanding of the effect of a psychoeducational intervention included in a cardiac rehabilitation program has been achieved.
背景
接受消融术治疗心房颤动的患者心理健康状况可能会下降。对于心理教育干预对这一患者群体的影响，我们知之甚少。
目的
本研究旨在探讨心理教育干预对参加心脏康复计划的患者心理健康的影响，重点阐述心理健康改善不明显的问题。
方法
采用序贯解释性混合方法，对随机康复试验中收集的定性和定量数据进行二次分析。使用问卷（n=95）测量感知健康，进行定性访谈（n=10）。
结果
感知健康评分高的患者体验到干预的积极效果。评分低的患者似乎存在身体活动能力低、心房颤动症状严重、生活问题较大或缺乏社会支持等问题。
结论
对包含在心脏康复计划中的心理教育干预效果有了更深入的了解。
Zotero 插件