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基于斯奈德希望理论的经皮冠状动脉介入术后抑郁症护理干预:一项临床研究。

Nursing interventions based on Snyder's hope theory for depression following percutaneous coronary interventions: A clinical study.

作者信息

Wang Xiao, Song Hai-Feng, Zhang Si-Min

机构信息

Department of Cardiovascular Medicine, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China.

Department of Outpatient and Emergency, Wuxi Mental Health Center, Wuxi 214151, Jiangsu Province, China.

出版信息

World J Psychiatry. 2025 Feb 19;15(2):99316. doi: 10.5498/wjp.v15.i2.99316.

Abstract

BACKGROUND

Patients with depression following coronary heart disease often exhibit insufficient psychological resilience and self-care abilities; therefore, emphasis must be placed on nursing interventions.

AIM

To analyze the application value of problem-oriented education combined with nursing interventions based on the Snyder hope theory model in depressed patients after percutaneous coronary intervention (PCI).

METHODS

This study included 150 patients diagnosed with PCI postoperative depression because of coronary heart disease between February 2022 and February 2024. Participants were divided into two groups: A control group ( = 75) receiving problem-oriented education and an observation group ( = 75) receiving combined nursing interventions based on the Snyder hope theory model. Depression status, psychological resilience, self-care ability, and quality of life were compared between the two groups.

RESULTS

Before nursing interventions, there were no significant differences between the two groups ( > 0.05). After the interventions, depression scores decreased while psychological resilience, self-care ability, and quality of life scores increased significantly in the observation group compared to that in the control group, with statistically significant differences noted ( < 0.05). This combined approach can enhance psychological resilience, improve self-care abilities, and elevate the overall quality of life, warranting further promotion in clinical practice.

CONCLUSION

Combination of problem-oriented education and nursing interventions based on the Snyder hope theory model effectively alleviates depression in patients following PCI for coronary heart disease.

摘要

背景

冠心病后抑郁患者往往表现出心理复原力和自我护理能力不足;因此,必须重视护理干预。

目的

分析基于斯奈德希望理论模型的问题导向教育结合护理干预在经皮冠状动脉介入治疗(PCI)后抑郁患者中的应用价值。

方法

本研究纳入了2022年2月至2024年2月期间因冠心病被诊断为PCI术后抑郁的150例患者。参与者分为两组:对照组(n = 75)接受问题导向教育,观察组(n = 75)接受基于斯奈德希望理论模型的联合护理干预。比较两组患者的抑郁状态、心理复原力、自我护理能力和生活质量。

结果

护理干预前,两组之间无显著差异(P > 0.05)。干预后,与对照组相比,观察组的抑郁评分降低,而心理复原力、自我护理能力和生活质量评分显著提高,差异有统计学意义(P < 0.05)。这种联合方法可以增强心理复原力,提高自我护理能力,并提升整体生活质量,值得在临床实践中进一步推广。

结论

基于斯奈德希望理论模型的问题导向教育与护理干预相结合可有效缓解冠心病PCI术后患者的抑郁症状。

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