Objective To investigate the impact of psycho-cardiological nursing combined with cognitive-behavioral-psychological intervention on psychological resilience and prognosis in patients with rheumatic heart disease (RHD) after valve replacement surgery.
Methods The data of 190 RHD patients who underwent valve replacement surgery from March 2023 to March 2024 were selected. Patients who received conventional nursing from March to September 2023 were included in conventional nursing group, while those who received psycho-cardiological nursing combined with multidimensional cognitive-behavioral-psychological intervention from October 2023 to March 2024 were assigned to combined nursing group, with 95 cases in each group. The cardiac function grading after 6 months of intervention, psychological status before and 6 months after intervention Fear of Progression Questionnaire (FoP-Q), Connor-Davidson Resilience Scale (CD-RISC), Herth Hope Index (HHI), and the score of the Generic Quality of Life Inventory-74 (GQOLI-74) after 6 months of intervention, the overall incidence of adverse events within 6 months of intervention, and medication adherence rate were compared between the two groups.
Results After the intervention, the cardiac function grade in the combined nursing group was significantly lower than that in the conventional nursing group, with a statistically significant difference (P < 0.05). After the intervention, The FoP-Q scores decreased in both groups, and the score in the combined nursing group was significantly lower than that in the conventional nursing group. The CD-RISC and HHI scores increased in both groups, and the scores in the combined nursing group were significantly higher than those in the conventional nursing group, with statistically significant differences (P < 0.05). The scores of physical function, interpersonal relationships, material life, and self-cognition in the GQOLI-74, as well as the medication adherence rate, were significantly higher in the combined nursing group than those in the conventional nursing group, while the overall incidence of adverse events was significantly lower, with statistically significant differences (P < 0.05).
Conclusion Compared with conventional nursing, psycho-cardiological nursing combined with cognitive-behavioral-psychological intervention can more effectively alleviate disease fear, enhance psychological resilience and hope levels, improve cardiac function and quality of life, increase medication adherence, and reduce the risk of adverse events in RHD patients after valve replacement surgery.
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