冠心病患者心理行为康复训练的疗效分析

An Efficacy Study of the Psychological Action Rehabilitation Exercise Training for the Patients with Coronary Heart Disease

目的:对比研究自编的具有中国特色的心理行为干预法对冠心病患者进行社区家庭康复训练的疗效。方法:216例冠心病患者在常规药物治疗的基础上,随机分为两组:干预组113例增加心理行为康复训练疗法;非干预组13例不加。康复训练方法在社区医师的具体指导下进行,每年收集分析有关资料,对比观察疗效。结果:干预组冠心病患者年住院率、A型性格的矫正、心绞痛发作、院外猝死、心律失常和心电图改善等均明显优于非干预组,经统计学处理,两组之间有显著差异。结论:具有中国特色的心理行为康复训练方法对冠心病患者疗效显著,值得推广和应用,但此法在我国尚处于探索阶段,有待于结合中医理论优势作进一步改进和完善。

Objective: To investigate the efficacy of family rehabilitation exercise training for the patients with coronary heart disease in community by means of self-developed psychology action intervening method with Chinese characteristics by contrasting. Methods: On the basis of regular remedy treatment,216 cases of patients with coronary heart disease were divided into two groups randomly. 113 cases in the intervened group were treated with psychology action rehabilitation exercise training besides the regular remedy treatment while the 103 cases of patients in the non-intervened group were treated without psychology action rehabilitation exercise training. Directed by the local community doctors,the rehabilitation exercise training was carried out by collecting and analyzing the information,observing and contrasting the efficacy every year. Results: The patients' annual hospitalization rate,the rectification of type A character,the outbreak of angina,the sudden cardiac death,the cardiac arrhythmia and the improvement of electrocardiogram were much improved in intervened group than thse in control group. There was a significant difference be tween the two groups. Conclusion: The psychology action rehabilitation exercise training method with Chinese characteristics proved to be effective and worth popularizing and applying, whereas this method is still at it's early stage which needs to be improved with the advantages of the traditional Chinese medical science.