正念减压训练联合抗阻训练对慢性心力衰竭患者心脏康复及睡眠质量的影响

Effects of Mindfulness-Based Stress Reduction Training Combined with Resistance Training on Cardiac Rehabilitation and Sleep Quality in Patients with Chronic Heart Failure

目的探讨正念减压训练联合抗阻训练对慢性心力衰竭患者心脏康复及睡眠质量的影响。方法选择2022年2月—2023年2月济南市中西医结合医院收治的78例慢性心力衰竭患者为研究对象,按随机数字表法将其分为对照组及观察组,每组39例。对照组进行抗阻训练,观察组在此基础上进行正念减压训练,均持续训练10周。比较两组患者的心理状态、睡眠质量及心功能。结果治疗后,观察组的左心室射血分数高于对照组,左室收缩末径、左室舒张末径均短于对照组,组间差异有统计学意义(P<0.05)。治疗后,观察组的匹兹堡睡眠质量指数评分为(7.47±1.23)分,低于对照组的(10.54±1.08)分,差异有统计学意义(P<0.05)。治疗后,观察组的抑郁自评量表及广泛性焦虑量表评分均低于对照组,组间差异有统计学意义(P<0.05)。结论慢性心力衰竭患者进行正念减压训练联合抗阻训练的效果显著,可改善其心功能,提升睡眠质量,并可改善其负性心理,值得临床推广使用。

Objective To explore the effects of mindfulness-based stress reduction training combined with resistance training on cardiac rehabilitation and sleep quality in patients with chronic heart failure.Methods 78 patients with chronic heart failure admitted to Jinan Integrated Traditional Chinese and Western Medicine Hospital from February 2022 to February 2023 were selected as the research objects and were divided into a control group and an observation group according to random number table method,with 39 cases in each group.The control group received resistance training,and the observation group received mindfulness-based stress reduction training on this basis.Both groups lasted for 10 weeks.The mental state,sleep quality and cardiac function of the two groups were compared.Results After treatment,the left ventricular ejection fraction in the observation group was higher than that in the control group,and the left ventricular systolic end diameter and left ventricular diastolic end diameter were shorter than those in the control group,the differences between the groups were statistically significant(P<0.05).After treatment,the Pittsburgh Sleep Quality Index score of the observation group was(7.47±1.23)points,which was lower than(10.54±1.08)points of the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Mindfulness-based stress reduction training combined with resistance training has significant effects on patients with chronic heart failure,which can improve their cardiac function,sleep quality and negative psychology,and is worthy of clinical promotion.