行为干预对冠心病心绞痛患者生活质量的影响

Effect of behavioral therapy on quality of life in patients with coronary heart disease angina pectoris

目的:探讨行为干预对冠心痛心绞痛患者生活质量的影响。方法:将110例冠心病心绞痛患者随机分为研究组和对照组各55例,对照组按心内科常规护理,研究组在此基础上增加行为干预包括戒烟限酒、低脂低盐饮食、规律睡眠、有氧运动、放松训练、听轻音乐、减少孤独焦虑抑郁等。采用Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)、体重指数(BMI)及生活质量指数评定量表(QOL),于入院后3个月对两组患者进行评估。结果:研究组健康行为改善优于对照组(P<0.01),焦虑、抑郁程度和体重指数(BMI)低于对照组(P<0.05),生活质量各维度评分均高于对照组(P<0.05)。结论:常规护理加针对性行为干预可减轻冠心病心绞痛患者的焦虑、抑郁等负性情绪,改善健康行为,从而提高患者的生活质量。

Objective ：To evaluate the effect of behavioral intervention on quality of life in patients with coronary heart disease angina pectoris. Methods ： 110 Cases of patients with coronary heart disease angina pectoris were randomly divided into the study group （55）cases and the control group （55）cases. The control group was treated with routine cardiology nursing care. The study group received behavioral therapy including alcohol restriction and smoking giving up,low fat and salt diet, regular sleep ,aerobic exercise ,relaxation training,light music enjoyment,less loneliness, anxiety or depression on the basis of rou- tine cardiology nursing. Zung Self- rating Anxiety Scale （SAS）, Self- rating Depression Scale （SDS） , Body Mass Index （BMI） and Quality of Life Index （QOL） were taken to evaluate the two groups of patients respectively 3 months before and ＇after the admission of patients. Results ： Compared with the control group, the health behavior of patients with coronary heart disease angina peetorls in the study group was improved significantly. The SAS, SDS and BMI levels of the study group were relieved. The scoring of each dimension of the QOL was improved. The differences were statistically significant （ P 〈 0.05 ）. Conclu- sions ： Routine cardiology nursing combined with behavioral therapy can alleviate the negative emotions of anxiety and depression in patients with coronary heart disease angina pectoris,so as to improve the quality of life in the patients.