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目的调查快速型心律失常行射频消融术患者的焦虑水平及健康行为自我效能水平,分析两者的相关性,为制订减轻患者焦虑水平及提高患者健康行为自我效能的护理方案提供依据。方法对2014年9月-2015年1月我院收治的120例快速型心律失常决定行射频消融术的术前患者采用焦虑自评量表及健康行为能力自评量表进行调查。结果快速型心律失常患者术前焦虑得分为(46.33±9.69)分,其中,无焦虑患者75例,轻度焦虑者37例,中、重度焦虑各4例;健康行为自我效能总得分为(58.50±21.75)分;文化程度、是否有工作及医疗保险对患者的焦虑水平及自我效能水平有影响,焦虑水平与健康行为自我效能总分及各维度得分呈中等程度负相关的关系(P<0.01)。结论医护人员应重视快速型心律失常患者术前知识宣教,提高患者的自我效能以降低其焦虑水平。
Objective To investigate the level of anxiety and self-efficacy of patients with tachyarrhythmias undergoing radiofrequency ablation and to analyze the correlation between the two and to provide basis for developing nursing plans to reduce anxiety and improve self-efficacy of patients’ health behaviors. Methods From September 2014 to January 2015, 120 patients with tachyarrhythmia who were admitted to our hospital before radiofrequency ablation were investigated by self-rating anxiety scale and self-rating health ability test. Results The preoperative anxiety score of patients with tachyarrhythmia was (46.33 ± 9.69) points, among which 75 were anxiety-free patients, 37 were mild anxiety patients and 4 were moderate and severe anxiety patients. The total scores of self-efficacy of health behaviors were (58.50 ± 21.75). There was a moderate negative correlation between the level of anxiety and the scores of self-efficacy of health behaviors and the scores of all dimensions (P <0.01). The level of education, work-absence and medical insurance had an effect on the level of anxiety and self-efficacy of patients. ). Conclusion Medical staff should pay attention to the preoperative knowledge and education of patients with tachyarrhythmia and improve their self-efficacy to reduce the anxiety level.