摘要
目的 探讨认知行为干预在冠心病临床护理中的应用效果。方法 选取2024年5月-2025年5月本院收治的80例冠心病患者作为研究对象，以数字表法分组，每组40例。对照组采用常规护理干预，观察组在常规护理基础上实施认知行为干预。比较两组患者护理后的疾病认知评分、治疗依从性，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评估护理前后心理状态，统计两组患者随访6个月内的心血管不良事件发生率。结果 观察组护理后疾病认知评分高于对照组，治疗依从性优于对照组（P<0.05）。护理后，两组患者SAS、SDS评分均低于护理前，且观察组低于对照组（P<0.05）。观察组随访6个月内心血管不良事件发生率低于对照组（P<0.05）。结论 在冠心病临床护理中应用认知行为干预，可提高患者疾病认知水平和治疗依从性，改善心理状态，降低心血管不良事件发生率。
关键词： 认知行为干预；冠心病；临床护理；不良事件
Abstract
Objective To explore the application effect of cognitive behavioral intervention in clinical nursing of coronary heart disease. Methods 80 patients with coronary heart disease admitted to our hospital from May 2024 to May 2025 were selected as the research subjects and divided into groups using a numerical table method, with 40 patients in each group. The control group received routine nursing intervention, while the observation group received cognitive behavioral intervention on the basis of routine nursing. Compare the disease cognitive scores and treatment compliance of two groups of patients after nursing, evaluate their psychological status before and after nursing using the Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS), and record the incidence of cardiovascular adverse events in the two groups of patients during a 6-month follow-up period. Results The disease cognition score of the observation group after nursing was higher than that of the control group, and the treatment compliance was better than that of the control group (P<0.05). After nursing, the SAS and SDS scores of both groups of patients were lower than before nursing, and the observation group was lower than the control group (P<0.05). The incidence of cardiovascular adverse events in the observation group was lower than that in the control group during the 6-month follow-up (P<0.05). Conclusion The application of cognitive-behavioral intervention in clinical nursing of coronary heart disease can improve patients' disease awareness and treatment compliance, improve their psychological state, and reduce the incidence of cardiovascular adverse events.
Key words： Cognitive-behavioral intervention; Coronary heart disease; Clinical nursing; Adverse event
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