中医护理技术对冠心病患者心理状况、生活质量及睡眠质量的影响

Effect of TCM Nursing Technology on Psychological Status,Quality of Life and Sleep Quality of Patients with Coronary Heart Disease

目的采用中医护理技术对冠心病患者进行干预,探究中医护理技术对冠心病患者心理状况、生活质量及睡眠质量的影响。方法选取2017年10月—2018年10月上海中医药大学附属曙光医院收治的冠心病患者150例,按照随机数字表法分为中医护理组、一般护理组各75例,对一般护理组进行常规护理,中医护理组患者进行中医护理干预。评价2组患者护理前后心理状况、生活质量和身体功能状况,对比2组患者睡眠质量及并发症发生情况。结果护理后中医护理组HAMD、HAMA评分分别为(14.21±3.22)分、(13.24±3.16)分,一般护理组HAMD、HAMA评分分别为(18.62±3.67)分、(17.36±3.72)分,中医护理组HAMD、HAMA评分低于一般护理组(tHAMD=7.822,tHAMA=7.310;均P<0.001)。护理后中医护理组SF-36评分为(71.32±5.86)分,一般护理组为(66.78±5.55)分,中医护理组SF-36评分高于一般护理组(t=4.871,P<0.001)。中医护理组各项睡眠质量评分均低于一般护理组(均P<0.001)。中医护理组并发症发生率为4.00%,低于一般护理组14.67%的并发症发生率(χ2=5.042,P=0.025)。结论使用中医护理技术对冠心病患者进行干预,能够明显舒缓患者负面情绪,改善患者生活质量以及睡眠质量,降低患者并发症发生率。

Objective TCM nursing technology was used to intervene patients with coronary heart disease,to explore the influence of TCM nursing technology on psychological status,quality of life and quality of sleep of patients with coronary heart disease.Methods A total of 150 patients with coronary heart disease admitted to our hospital from October 2017 to October 2018 were selected.According to the random number table method,75 patients were divided into the traditional Chinese medicine nursing group and the general nursing group.The general nursing group received routine nursing,while the traditional Chinese medicine nursing group received traditional Chinese medicine nursing intervention.The psychological status,quality of life and physical function of the two groups before and after nursing were evaluated,and the sleep quality and complications of the two groups were compared.Results After nursing,the scores of HAMD and HAMA in TCM nursing group were 14.21±3.22 and 13.24±3.16,respectively,and those in general nursing group were 18.62±3.67 and 17.36±3.72,respectively.The scores of HAMD and HAMA in TCM nursing group were lower than those in general nursing group(tHAMD=7.822,tHAMA=7.310;P<0.001).The score of SF-36 in TCM nursing group was 71.32±5.86,and that in general nursing group was 66.78±5.55.The score of SF-36 in TCM nursing group was higher than that in general nursing group(t=4.871,P<0.001).The scores of sleep quality in TCM nursing group were lower than those in general nursing group(all P<0.001).The incidence of complications in TCM nursing group was 4.00%,which was lower than that in general nursing group(14.67%,χ2=5.042,P=0.025).Conclusion Intervention on patients with coronary heart disease with traditional Chinese medicine nursing technology can significantly relieve patients’negative emotions,improve their quality of life and sleep,and reduce the incidence of complications.