正念冥想训练联合治疗性沟通对冠心病患者疾病不确定感和心理状态的影响OA

Objective:To analyze the influence of combination of mindfulness meditation training and therapeutic communication on disease uncertainty and psychological status in patients with coronary heart disease(CHD).Meth-ods:A total of 128 patients with CHD were included from January 2024 to January 2025,and were randomly classi-fied into combined group and conventional group,with 64 cases in each group.The conventional group received con-ventional intervention,whereas the combined group was given mindfulness meditation training combined with thera-peutic communication intervention.Both groups were intervened for 1 month.The self-efficacy[General Self-Effi-cacy Scale(GSES)],disease uncertainty[Chinese version of Mishel Uncertainty in Illness Scale(MUIS-A)],psycho-logical status[15-item Geriatric Depression Scale(GDS-15),7-item Generalized Anxiety Disorder Scale(GAD-7)],self-care ability[Exercise of Self-Care Agency Scale(ESCA)],health behavior[Health Promoting Lifestyle Profile-Ⅱ(HPLP-Ⅱ)]and quality of life[Chinese Cardiovascular Quality of Life Questionnaire(CQQC)]were com-pared between groups before and after intervention.Results:After 1 month of intervention,the scores of GSES,ES-CA,HPLP-Ⅱ and CQQC in both groups of patients were significantly enhanced compared with those before inter-vention,and the scores were higher in the combined group(t=4.769,4.982,8.385,5.979;P＜0.001).The scores of MUIS-A,GDS-15 and GAD-7 were significantly reduced in the two groups compared to before intervention,and the scores in the combined group were lower(t=-3.376,-3.669,-3.576;P＜0.001).Conclusion:Mindfulness meditati-on training combined with therapeutic communication intervention for patients with CHD can reduce the disease un-certainty,improve the psychological status and health behavior,and help to enhance the quality of life.