Kalij Fatemeh, Akbari Mohammad, Alavi Mousa, Atashi Vajihe
Nursing & Midwifery Care Research Center Isfahan University of Medical Sciences Isfahan Iran.
Health Sci Rep. 2025 Mar 23;8(3):e70421. doi: 10.1002/hsr2.70421. eCollection 2025 Mar.
Congestive heart failure is often associated with diminished resilience in patients, leading to adverse mental health outcomes. This study aimed to explore the impact of an emotion regulation program on the resilience of individuals coping with congestive heart failure.
This randomized clinical trial involved 70 hospitalized patients with congestive heart failure at Shahid Chamran Medical Center in Isfahan. Participants were randomly assigned to either the intervention group ( = 35) or the control group ( = 35). The intervention group underwent a six-session emotion regulation program, with each session lasting 45-60 min. Data collection involved the Connor-Davidson Resilience Scale, administered at three stages: preintervention, immediately postintervention, and 1 month postintervention. Data were analyzed using SPSS version 22, employing chi-square tests, Fisher's exact tests, -tests, and repeated measures ANOVA (significance level: < 0.05).
The mean resilience scores for the intervention group were 37.33 ± 17.25 preintervention, 92.17 ± 3.88 immediately postintervention, and 87.26 ± 3.33 1 month postintervention, indicating a statistically significant difference ( < 0.001). Conversely, the control group's mean resilience scores during the same periods were 37.77 ± 25.58, 19.34 ± 13.22, and 31.80 ± 19.98, showing nonsignificant differences ( > 0.05). Additionally, comparisons of mean resilience scores between the intervention and control groups immediately and 1 month postintervention revealed significant differences ( < 0.05).
The findings underscore the effectiveness of the emotion regulation program in enhancing resilience among patients with congestive heart failure. It is recommended that healthcare professionals, particularly nurses, incorporate this intervention into their patient care practices to foster resilience in individuals managing congestive heart failure.
充血性心力衰竭常与患者恢复力下降相关，进而导致不良心理健康后果。本研究旨在探讨情绪调节项目对充血性心力衰竭患者恢复力的影响。
这项随机临床试验纳入了伊斯法罕沙希德·查姆兰医学中心的70例住院充血性心力衰竭患者。参与者被随机分为干预组（n = 35）或对照组（n = 35）。干预组接受了为期六节的情绪调节项目，每节时长45 - 60分钟。数据收集采用康纳 - 戴维森恢复力量表，在三个阶段进行：干预前、干预后即刻和干预后1个月。使用SPSS 22版软件进行数据分析，采用卡方检验、费舍尔精确检验、t检验和重复测量方差分析（显著性水平：P < 0.05）。
干预组干预前的平均恢复力得分为37.33 ± 17.25，干预后即刻为92.17 ± 3.88，干预后1个月为87.26 ± 3.33，差异具有统计学意义（P < 0.001）。相反，对照组在同一时期的平均恢复力得分分别为37.77 ± 25.58、19.34 ± 13.22和31.80 ± 19.98，差异无统计学意义（P > 0.05）。此外，干预组与对照组在干预后即刻和干预后1个月的平均恢复力得分比较显示出显著差异（P < 0.05）。
研究结果强调了情绪调节项目在提高充血性心力衰竭患者恢复力方面的有效性。建议医疗保健专业人员，尤其是护士，将此干预措施纳入其患者护理实践中，以增强充血性心力衰竭患者的恢复力。
