Psychiatria Danubina · 2020
Effect of Dual-track Interactive Nursing Intervention Model on Anxiety and Depression in Patients with Coronary Heart Disease.
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Yang Jiao, Hu Hongling, Li Yamin
Аннотация
BACKGROUND: Elderly patients with coronary heart disease often suffer adverse psychological reactions, such as anxiety and depression. The dual-track interactive nursing model is a nursing intervention aimed to provide specific and community nursing. For patients with chronic diseases, this model can improve the patients' self-management and rehabilitation. The effect of this model on the mental health of patients with chronic diseases has been unanimously recognized by researchers. In this study, a dual-track interactive nursing model intervention was conducted on the anxiety and depression in elderly patients with coronary heart disease to verify the psychological effect of the model.
SUBJECTS AND METHODS: From June 2018 to June 2019, 136 elderly patients with coronary heart disease (mean age of 63.5±8.26 years) from three communities in Changsha, Hunan Province, China were selected as subjects. A total of 53 and 50 patients were identified in the intervention and the control groups, respectively. The control group underwent routine longitudinal referral, whereas the intervention group was subjected to a two-track interactive nursing model intervention. The Short Form-36 Health Survey (SF-36) and related questionnaires were used to monitor and compare the two groups before and after the intervention and employed for scoring and comparative analysis.
RESULTS: After the intervention, the mental health scores of the intervention group in total score, somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, and paranoia are significantly lower than those of the control group (P<0.05). The intervention group has scored significantly higher in coping style but significantly lower in negative coping than the control group (P<0.05).
CONCLUSIONS: The application of the dual-track interactive nursing model intervention in the management of patients with coronary heart disease can improve the self-management and the mental health of patients with coronary heart disease.
SUBJECTS AND METHODS: From June 2018 to June 2019, 136 elderly patients with coronary heart disease (mean age of 63.5±8.26 years) from three communities in Changsha, Hunan Province, China were selected as subjects. A total of 53 and 50 patients were identified in the intervention and the control groups, respectively. The control group underwent routine longitudinal referral, whereas the intervention group was subjected to a two-track interactive nursing model intervention. The Short Form-36 Health Survey (SF-36) and related questionnaires were used to monitor and compare the two groups before and after the intervention and employed for scoring and comparative analysis.
RESULTS: After the intervention, the mental health scores of the intervention group in total score, somatization, obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, hostility, and paranoia are significantly lower than those of the control group (P<0.05). The intervention group has scored significantly higher in coping style but significantly lower in negative coping than the control group (P<0.05).
CONCLUSIONS: The application of the dual-track interactive nursing model intervention in the management of patients with coronary heart disease can improve the self-management and the mental health of patients with coronary heart disease.