Improving effect of cognitive restructuring intervention on mental state and therapeutic compliance in CHD patients / 心血管康复医学杂志

ABSTRACT

Objective:To explore improving effect of cognitive restructuring intervention on control attitude,mental state and compliance in patients with coronary heart disease (CHD).Methods:A total of 112 CHD patients were selected.Ac-cording to random number table,they were randomly and equally divided into routine nursing group and cognitive restructu-ring group.Control attitude score,mental state change and compliance were compared between two groups before and after nursing.Results:Compared with before nursing and routine nursing group after nursing,there was significant rise in control attitude score [(26.51±2.04)scores,(27.22±3.58)scores vs.(31.96±3.13)scores]in cognitive restructuring group, P =0.001 both;compared with before nursing,there were significant reductions in scores of Zung's anxiety self-rating scale (SAS)and Zung's depression self-rating scale (SDS)after nursing in both groups,and compared with routine nursing group after nursing,there were significant reductions in scores of SAS [(41.62±6.55)scores vs.(35.02±4.31)scores]and SDS[(48.24±7.32)scores vs.(41.02±5.33)scores]in cognitive restructuring group,P <0.01 all;therapeutic compliance of cognitive restructuring group was significantly better than that of routine nursing group (96.43% vs.75.00%,P =0.003). Conclusion:Cognitive restructuring intervention can significantly improve control force,relieve negative emotions and im-prove therapeutic compliance in CHD patients,which is worth extending.