正念放松训练对经皮冠状动脉介入治疗患者心理应激反应及睡眠质量影响的研究

Effects of mindfulness relaxation training on perioperative psychological stress response and sleep quality in elderly patients with coronary heart disease undergoing PCI

目的探讨正念放松训练对老年冠心病经皮冠状动脉介入治疗患者围手术期心理应激反应及睡眠质量的影响。方法采用随机数字表法,将138例拟行经皮冠状动脉介入治疗的老年冠心病患者分为实验组和对照组,每组69例。实验组在常规治疗及护理的基础上接受为期4周的正念放松训练,对照组接受常规治疗及护理。借助90项症状自评量表(symptom check list 90,SCL-90)、匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)对两组的心理应激指标和睡眠质量进行评定。结果干预4周后,实验组SCL-90总分和躯体化、强迫、人际关系敏感、抑郁、焦虑因子得分均低于对照组,差异有统计学意义(P<0.05)。实验组PSQI总分和睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍因子得分均低于对照组,差异有统计学意义(P<0.05)。结论正念放松训练可有效缓解老年冠心病经皮冠状动脉介入治疗患者围手术期心理应激反应,改善其睡眠质量。

Objective To explore the effects of mindfulness relaxation training on psychological stress response and sleep quality in elderly patients with coronary heart disease undergoing PCI during perioperative period. Methods Using random number table method,138elderly patients with coronary heart disease scheduled to undergo PCI were divided into the intervention group and the control group,with 69eases in each group.The control group received routine treatment and nursing,and the intervention group received mindfulness relaxation training on the basis of routine treatment and nursing for 4weeks.The psychological stress and sleep quality of two groups were evaluated with Symptom Checklist-90(SCL-90)and Pittsburgh Sleep Quality Index(PSQI).Results After 4 weeks of intervention,the scores of SCL-90,somatization,compulsion,interpersonal sensitivity,depression and anxiety were all lower in the intervention group than those in the control group,and the differences were statistically significant (P<0.05).The scores of PSQI,sleep quality,time to fall sleep,length of sleep,sleep efficiency,sleep disorder and daytime dysfunction in the intervention group were all lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Mindfulness relaxation training can effectively alleviate the perioperative psychological stress response,and improve sleep quality.