关键词: 团体咨询, 认知行为疗法, 冠心病, 冠脉搭桥, 自我管理

Abstract: Objective: To explore the effect of group counseling combined with cognitive-behavior therapy on self-management behavior in elder coronary heart disease patients after coronary artery by pass grafting. Methods:180 elder coronary heart disease patients after coronary artery by pass grafting were selected and assigned randomly into 2 groups, the control group was given routine nursing and recovery guidance, the observation group was given group counseling combined with cognitive-behavior therapy on the basis of routine intervention, the score of coronary artery disease self-management scale(CSMS) and risk factors for coronary heart disease of the 2 groups before intervention，2 months， 6 months after intervention were compared. Results: The total score and each dimension score of CSMS, BMI, blood pressure, hemoglobin A1c were lower at 2 months, 6 months after intervention; the differences of the time effect, group effect and cross effect were statistically significant(P＜0.05).Conclusion: Group counseling combined with cognitive-behavior therapy can improve the patients’ self-management behaviorand disease status in elder coronary heart disease patients after coronary artery bypass grafting.

Key words: Group consultation, Cognitive-behavioral therapy, Coronary heart disease (CHD), Coronary artery bypass grafting(CABG), Self-management