Clinical effect of cognitive behavioral Intervention on the cognitive level and quality of life in patients with venous thromboembolism
10.3760/cma.j.issn.1672-7088.2017.26.001
- VernacularTitle:认知行为干预对静脉血栓栓塞症患者疾病认知水平及生命质量的影响
- Author:
Qian ZHANG
1
;
Ying YU
;
Tao YANG
;
Peiying WANG
;
Jia LI
;
Qingmei NIU
;
Binliang ZHAO
Author Information
1. 山西大医院血管外科
- Keywords:
Quality of life;
Venous thromboembolism;
Cognitive behavioral Intervention;
Psychological care
- From:
Chinese Journal of Practical Nursing
2017;33(26):2001-2006
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effectof cognitive behavioral Intervention on the quality of life and cognitive lever of patients with venous thrombus embolism. Methods 164 patients with Venous Thrombus Embolism were randomly divided into control group and research group, the control group received routine care, The study group received cognitive behavior intervention. The cognitive lever and quality of life score was measured between before and after the intervention. Results Before the intervention, the difference score of living quality and cognitive lever in the two groups has no statistical significance (P > 0.05), and after intervention, the cognition lever and the three aspects of risk factors, anticoagulant knowledge and treatment methods of research group scored (28.47 ± 7.63), (7.38 ± 2.48), (6.82±2.73), (3.64±1.59) points which were significantly higher than the control group scored (20.54±5.49), (4.31±2.14), (3.72±1.62), (2.18±1.36) points (t=7.635, 8.469, 8.822, 6.299, P<0.01),the quality of life and four dimensions of daily life ability, pain, social activities, mental scored ( 37.04 ± 7.08), [9.00 (5.00, 11.00)],(9.04 ± 1.55),(5.52 ± 1.59),(14.00 ± 3.06) points which showed great improvement than the control group scored [49.50(39.75-59.25)], [11.50 (6.75, 16.00)], (10.05 ± 1.65), (7.95 ± 2.19), (19.18 ± 3.88) points. There were significant difference in the quality of life and four dimensions between the two groups. (Z=-3.558,-2.143, t=2.102, 4.274, 4.991, P<0.05 or 0.01). Conclusions The quality of life for the venous thrombus embolism patients were in lower level. The cognitive behavioral intervention could correcting their bad behavior and negative emotions, eventually improve the quality of life of venous thrombus embolism patients.