【摘要】 目的:探讨冠心病(CHD)介入手术(PCI)患者接受情绪释放技术(EFT)联合问题导向干预(POI)能否有效改善心理韧性及疾病进展恐惧情况。方法:选择某院2024年1月至2025年1月收治的148例CHD接受PCI的患者，使用随机数表法分为对照组(常规干预，n=74)和研究组(EFT联合POI,n=74),比较两组患者干预前后的心理韧性[Cormor-Davidson心理弹性量表(CD-RISC)]、恐惧疾病进展程度[恐惧疾病进展量表(FoP-Q)]、心功能[左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)和心脏指数(CI)]、运动耐受性、自我管理能力[冠心病自我管理行为量表(CSMS)]和生活质量[西雅图心绞痛量表(SAQ)]。结果:干预后，研究组CD-RISC各维度评分和总分均高于对照组(t=8.233,6.291,5.991,5.704;P<0.05),研究组FoP-Q各维度和总分均低于对照组(t=-4.816,-9.034,-8.852,-9.070,-8.259,-9.370;P<0.05),研究组LVEDD低于对照组，LVEF、CI、6 min行走距离均高于对照组(t=-3.771,7.180,4.135,9.051;P<0.05),研究组CSMS各维度评分和总分均高于对照组(t=6.296,5.404,3.531,3.713,3.572,4.604,3.739,4.883;P<0.05),研究组SAQ各维度得分均高于对照组(t=8.839,9.948,9.355,9.247,9.711;P<0.05),差异均有统计学意义。结论:CHD接受PCI患者采取EFT联合POI能够有效增强患者心理韧性，减轻患者疾病进展恐惧严重程度，改善患者心功能和运动耐受性，提升其自我管理能力和生活质量。更多还原

【Abstract】 Objective:To investigate whether the combination of emotional freedom technique(EFT)and problem-oriented intervention(POI)can effectively improve psychological resilience and fear of disease progression in patients with coronary heart disease(CHD)receiving percutaneous coronary intervention(PCI).Methods:A total of 148 patients with CHD who received PCI in the hospital were selected from January 2024 to January 2025,and were classified into control group(routine intervention, n=74)and study group(EFT combined with POI,n=74)by adopting the random number table method.The psychological resilience[Connor-Davidson Resilience Scale(CD-RISC)],fear of disease progression[Fear of Progression Questionnaire(FoP-Q)],cardiac function[left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),cardiac index(CI)],exercise tolerance,selfmanagement ability[Coronary Heart Disease Self-Management Scale(CSMS)]and quality of life[Seattle Angina Questionnaire(SAQ)]were compared between both groups of patients before and after intervention.Results:After intervention,the scores of dimensions and total score of CD-RISC in the study group were higher than those in the control group(t=8.233,6.291,5.991,5.704;P<0.05).The scores of various dimensions and total score of FoP-Q in the study group after intervention were lower compared to the control group(t=-4.816,-9.034,-8.852,-9.070,-8.259,-9.370;P<0.05).After intervention,LVEDD in the study group was lower than that in the control group while LVEF,CI and 6min walking distance were higher(t=-3.771,7.180,4.135,9.051;P<0.05).The study group had higher scores of dimensions and total score of CSMS after intervention(t=6.296,5.404,3.531,3.713,3.572,4.604,3.739,4.883;P<0.05).After intervention,the scores of dimensions of SAQ were higher in the study group(t=8.839,9.948,9.355,9.247,9.711;P<0.05).Conclusion:EFT combined with POI can effectively enhance the psychological resilience,relieve the severity of fear of disease progression,improve the cardiac function and exercise tolerance,and enhance the self-management ability and quality of life in patients with CHD undergoing PCI.更多还原