双心模式干预对稳定型心绞痛合并焦虑抑郁症患者影响研究
|
摘要
目的观察双心模式干预对稳定型心绞痛合并焦虑抑郁症患者的影响。方法选取2017年2月至2018年2月,北京水利医院收治的86例稳定型心绞痛合并焦虑抑郁患者。随机分为对照组和观察组,每组43例。对照组予以常规治疗,观察组予以双心模式干预。结果干预后,观察组SAS评分(46.28±2.04)分,对照组SAS评分(57.15±2.54)分,差异有统计学意义(t=9.524,P=0.001);观察组SDS评分(45.13±2.25)分,对照组SDS评分(58.35±3.34),差异有统计学意义(t=10.549,P=0.000)。干预后观察组左室射血分数(LVEF)为(55.83±3.28)%,对照组LVEF为(46.52±3.12)%,差异有统计学意义(t=9.571,P=0.003);观察组左室舒张末内径(LVEDD)为(41.25±1.42)mm,对照组(49.34±1.27)mm,差异有统计学意义(t=10.235,P=0.001);观察组左室收缩末内径(LVESD)为(25.35±1.58) mm,对照组(30.23±2.69)mm,差异有统计学意义(t=9.845,P=0.002)。观察组干预总有效率97.68%,对照组干预后总有效率79.07%,差异有统计学意义(χ~2=7.242,P=0.007)。结论双心模式干预应用于稳定型心绞痛合并焦虑抑郁患者中,能够逐渐消除患者的不良心理情绪,从而改善患者心功能指标,提高稳定型心绞痛治疗效果。
Objective To discuss the effect of bicardiac intervention on cardiac function of patients with stable angina pectoris and anxiety-depression. Methods 86 patients with stable angina pectoris complicated with anxiety-depression treated in Beijing Water Resources Hospital from February 2017 to February 2018 were enrolled into the study.They were randomly divided into two groups.Patients in study group received bi-cardiac mode intervention, while those in control group received routine treatment. Results After the intervention, the SAS score and SDS score of patients in study group were significantly lower compared to those in control group(46.28±2.04 vs 57.15±2.54; t=9.524, P=0.001)(45.13±2.25 vs 58.35±3.34; t=10.549, P=0.000).After the intervention, there were significant differences in LVEF(t=9.571,P=0.003), LVEDD(t=10.235, P=0.001) and LVESD(t=9.845, P=0.002) between the two groups.The overall effective rate of intervention was 97.68% in the study group and 79.07% in the control group, the difference was statistically significant(χ~2=7.242, P=0.007). Conclusions The application of bi-cardiac mode intervention in patients with stable angina pectoris and anxiety-depression can gradually eliminate the adverse psychological mood of patients, improve cardiac function and treatment effect of stable angina pectoris.
Objective To discuss the effect of bicardiac intervention on cardiac function of patients with stable angina pectoris and anxiety-depression. Methods 86 patients with stable angina pectoris complicated with anxiety-depression treated in Beijing Water Resources Hospital from February 2017 to February 2018 were enrolled into the study.They were randomly divided into two groups.Patients in study group received bi-cardiac mode intervention, while those in control group received routine treatment. Results After the intervention, the SAS score and SDS score of patients in study group were significantly lower compared to those in control group(46.28±2.04 vs 57.15±2.54; t=9.524, P=0.001)(45.13±2.25 vs 58.35±3.34; t=10.549, P=0.000).After the intervention, there were significant differences in LVEF(t=9.571,P=0.003), LVEDD(t=10.235, P=0.001) and LVESD(t=9.845, P=0.002) between the two groups.The overall effective rate of intervention was 97.68% in the study group and 79.07% in the control group, the difference was statistically significant(χ~2=7.242, P=0.007). Conclusions The application of bi-cardiac mode intervention in patients with stable angina pectoris and anxiety-depression can gradually eliminate the adverse psychological mood of patients, improve cardiac function and treatment effect of stable angina pectoris.
引文
[1] 谢湘梅,胡晓莹,朱菱,等.萧氏双C护理理念联合专科创新护理在经口气管插管清醒病人中的应用 [J].全科护理,2017,15(11):1320-1322.
[2] 闫红卫,庞丽,薛惠平,等.心理护理干预减轻心绞痛患者焦虑情绪的机制研究[J].国际免疫学杂志,2016,39(3):234-236.
[3] 林少娜.双心护理对冠心病合并糖尿病患者病情管理能力及生活质量的影响[J].检验医学与临床,2018,15(2):222-224.
[4] 李梓香,詹艳,权力,等.双心护理对CHF合并抑郁障碍患者情绪及生活质量的影响[J].现代中西医结合杂志,2016,25(21):2384-2386.
[5] 何芳,赵艳伟.双心护理干预对择期冠状动脉介入患者的疗效观察[J].中国循证心血管医学杂志,2016,8(9):1062-1063.
[6] 李静,芦桂芝,陈颖丽,等.我国“双师型”护理教师的文献计量学分析[J].中国高等医学教育,2016,25(9):11-13.
[7] 牛娟,崔国峰.多样化护理对糖尿病合并冠心病患者的临床作用[J].国际心血管病杂志,2017,5(1):276-276.
[8] 张莹丽,李惠钧,冯蓓蓓,等.心理护理对心绞痛患者焦虑抑郁状态及护理满意度的影响[J].国际精神病学杂志,2017,24(1):176-178.
[9] 孙静,陈春.“双心病”的研究进展.[J].中国医药科学,2015,10(5):26-29.
[10] Keogh K.Training places to double for nursing associate role[J].Nurs Stand,2016,31(8):7-8.
[11] 顾爱芹,王立春,徐红,等.强化护理干预对冠心病合并慢性心力衰竭患者生存质量的影响[J].中国循证心血管医学杂志,2016,8(9):1116-1118.
[12] 沈钰.抑郁在冠心病发生和发展中的作用及机制分析[J].国际精神病学杂志,2007,3(2):30-35.
[13] 丁妍,余健,黄贤珍,等.双心护理在冠心病患者中的应用效果[J].广东医学,2017,38(16):2576-2579.
[14] 段亚娜,仲媛,肖楠.双心护理模式对心血管内科患者护理的应用价值研究[J].中国心血管病研究,2016,14(2):156-159.
[15] 朱洁莹,刘丽军,信栓力,等.冠心病心绞痛患者血浆肿瘤坏死因子α和超敏C反应蛋白变化及其临床意义[J].中国综合临床,2014,30(10):1030-1032.
[16] 张粉枝.综合护理干预在冠心病心绞痛患者临床治疗中的应用[J].实用临床医药杂志,2017,21(16):1-3.
[17] 谢先红,曾晓琼,刘彬,等.综合护理干预在急性心肌梗死患者急救中的应用[J].实用临床医药杂志,2017,21(6):18-21.
[18] 许颖智,张军平,任淑女,等.冠心病心绞痛的中医药干预模式综合疗效评价[J].中华中医药杂志,2017,25(8):491-493.
[19] 李凤玲.协同护理模式对老年冠心病患者生活质量的影响[J].现代中西医结合杂志,2016,25(19):2158-2160.
[20] 冯立红,杨红,张金楼.个性化护理干预对心脏介入治疗后患者康复的对比研究[J].岭南心血管病杂志,2016,22(4):472-474.
[21] 吴立华,周英艳,黎金花.循症护理对老年冠心病心绞痛患者的临床症状和治疗依从性的影响[J].海南医学,2016,27(17):2922-2924.
[2] 闫红卫,庞丽,薛惠平,等.心理护理干预减轻心绞痛患者焦虑情绪的机制研究[J].国际免疫学杂志,2016,39(3):234-236.
[3] 林少娜.双心护理对冠心病合并糖尿病患者病情管理能力及生活质量的影响[J].检验医学与临床,2018,15(2):222-224.
[4] 李梓香,詹艳,权力,等.双心护理对CHF合并抑郁障碍患者情绪及生活质量的影响[J].现代中西医结合杂志,2016,25(21):2384-2386.
[5] 何芳,赵艳伟.双心护理干预对择期冠状动脉介入患者的疗效观察[J].中国循证心血管医学杂志,2016,8(9):1062-1063.
[6] 李静,芦桂芝,陈颖丽,等.我国“双师型”护理教师的文献计量学分析[J].中国高等医学教育,2016,25(9):11-13.
[7] 牛娟,崔国峰.多样化护理对糖尿病合并冠心病患者的临床作用[J].国际心血管病杂志,2017,5(1):276-276.
[8] 张莹丽,李惠钧,冯蓓蓓,等.心理护理对心绞痛患者焦虑抑郁状态及护理满意度的影响[J].国际精神病学杂志,2017,24(1):176-178.
[9] 孙静,陈春.“双心病”的研究进展.[J].中国医药科学,2015,10(5):26-29.
[10] Keogh K.Training places to double for nursing associate role[J].Nurs Stand,2016,31(8):7-8.
[11] 顾爱芹,王立春,徐红,等.强化护理干预对冠心病合并慢性心力衰竭患者生存质量的影响[J].中国循证心血管医学杂志,2016,8(9):1116-1118.
[12] 沈钰.抑郁在冠心病发生和发展中的作用及机制分析[J].国际精神病学杂志,2007,3(2):30-35.
[13] 丁妍,余健,黄贤珍,等.双心护理在冠心病患者中的应用效果[J].广东医学,2017,38(16):2576-2579.
[14] 段亚娜,仲媛,肖楠.双心护理模式对心血管内科患者护理的应用价值研究[J].中国心血管病研究,2016,14(2):156-159.
[15] 朱洁莹,刘丽军,信栓力,等.冠心病心绞痛患者血浆肿瘤坏死因子α和超敏C反应蛋白变化及其临床意义[J].中国综合临床,2014,30(10):1030-1032.
[16] 张粉枝.综合护理干预在冠心病心绞痛患者临床治疗中的应用[J].实用临床医药杂志,2017,21(16):1-3.
[17] 谢先红,曾晓琼,刘彬,等.综合护理干预在急性心肌梗死患者急救中的应用[J].实用临床医药杂志,2017,21(6):18-21.
[18] 许颖智,张军平,任淑女,等.冠心病心绞痛的中医药干预模式综合疗效评价[J].中华中医药杂志,2017,25(8):491-493.
[19] 李凤玲.协同护理模式对老年冠心病患者生活质量的影响[J].现代中西医结合杂志,2016,25(19):2158-2160.
[20] 冯立红,杨红,张金楼.个性化护理干预对心脏介入治疗后患者康复的对比研究[J].岭南心血管病杂志,2016,22(4):472-474.
[21] 吴立华,周英艳,黎金花.循症护理对老年冠心病心绞痛患者的临床症状和治疗依从性的影响[J].海南医学,2016,27(17):2922-2924.