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心房颤动射频消融术后患者复发恐惧的特征及认知行为应激管理干预的效果

The Characteristics of Fear of Recurrence and the Effect of Cognitive-Behavioral Stress Management Intervention in Patients after Radiofrequency Ablation of Atrial Fibrillation.

作者信息

Chen Juan, Qian Lu, Chen Cuilian, Wang Xiaoling

机构信息

Department of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou 215031, China.

出版信息

Evid Based Complement Alternat Med. 2022 Jul 20;2022:6916302. doi: 10.1155/2022/6916302. eCollection 2022.

Abstract

The aim of this study was to grasp the current situation of fear of recurrence in patients after radiofrequency ablation of atrial fibrillation and to explore the application effect of cognitive-behavioral stress management in patients with fear of recurrence after radiofrequency ablation of atrial fibrillation. From July 2020 to July 2021, 150 patients with fear of recurrence of atrial fibrillation after radiofrequency ablation in our hospital were divided into a control group and an intervention group, with 75 cases in each group. Both groups received conventional nursing methods, and the intervention group received 8 weeks of cognitive-behavioral stress management. Before the intervention and after the intervention, the general situation questionnaire, the Chinese version of the Fear Disease Progression Simplified Scale (FoP-Q-SF), the Perceived Stress Scale (CPSS), and the Positive Psychological Capital Questionnaire (PPQ) were used for evaluation. Before the intervention, there were no significant differences in general data, degree of fear of recurrence, stress perception, and psychological capital scores between the two groups ( > 0.05). After 8 weeks of cognitive-behavioral stress management intervention, the fear recurrence, the total score of stress perception, and the scores of each dimension in the intervention group were significantly lower than those in the control group, and the psychological capital score was significantly higher than that in the control group, with statistically significant differences ( < 0.05). Cognitive-behavioral stress management method can significantly reduce the fear of recurrence and stress level of patients after radiofrequency ablation of atrial fibrillation, and improve their psychological capital level.

摘要

本研究旨在了解心房颤动射频消融术后患者对复发的恐惧现状,并探讨认知行为应激管理在心房颤动射频消融术后恐惧复发患者中的应用效果。2020年7月至2021年7月,选取我院150例心房颤动射频消融术后恐惧复发的患者,分为对照组和干预组,每组75例。两组均接受常规护理方法,干预组接受为期8周的认知行为应激管理。在干预前和干预后,采用一般情况问卷、中文版恐惧疾病进展简化量表(FoP-Q-SF)、感知压力量表(CPSS)和积极心理资本问卷(PPQ)进行评估。干预前,两组患者的一般资料、复发恐惧程度、压力感知及心理资本得分比较,差异无统计学意义(>0.05)。经过8周的认知行为应激管理干预后,干预组的复发恐惧、压力感知总分及各维度得分均显著低于对照组,心理资本得分显著高于对照组,差异有统计学意义(<0.05)。认知行为应激管理方法可显著降低心房颤动射频消融术后患者的复发恐惧和压力水平,提高其心理资本水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73a9/9328943/dc8b1f470c42/ECAM2022-6916302.001.jpg

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