放松训练联合正念疗法对老年冠心病患者PCI围手术期心理应激及生活质量的影响

Influence of relaxation training combined mindfulness therapy on PCI perioperative psychological stress and quality of life in aged CHD patients

目的:探讨放松训练联合正念疗法对老年冠心病患者经皮冠状动脉介入术(PCI)围手术期心理应激及生活质量的影响。方法:选择我院行PCI治疗的冠心病患者196例,按照随机数字表法均分为常规干预组(接受常规护理)和联合干预组(在常规干预组基础上接受放松训练联合正念疗法),比较两组患者干预前后心理状态、睡眠状况及生活质量。结果:与干预前比较,干预后两组患者SAS、SDS评分明显下降,生活质量评分明显提高(P均<0.01);且与常规干预组比较,联合干预组干预后SAS[(45.17±3.22)分比(34.59±3.45)分]、SDS[(50.11±4.63)分比(39.17±3.66)分]评分明显下降;生活质量[(23.33±4.58)分比(27.17±5.13)分]评分明显提高,睡眠质量各项评分及总分[(9.37±2.11)分比(7.10±1.82)分]明显下降(P<0.05或<0.01)。结论:放松训练疗法联合正念疗法可显著改善老年冠心病介入治疗患者围手术期心理状态,提高生活质量。

Objective： To explore influence of relaxation training combined mindfulness therapy on percutaneous coronary intervention （PCI） perioperative psychological stress and quality of life （QOL） in aged patients with coronary heart disease （CHD）. Methods.. A total of 196 CHD patients undergoing PCI in our hospital were selected, according to random number table they were randomly and equally divided into routine intervention group （received routine nursing） and combined intervention group （received relaxation training combined mindfulness therapy based on routine intervention group）. Psychological state, sleep status and QOL were compared between two groups before and after intervention. Results： Compared with before intervention, after intervention, there were significant reductions in scores of SAS and SDS, and significant rise in QOL score in both groups, P〈0. 01 all; compared with routine intervention group after intervention, there were significant reductions in scores of SAS [ （45. 17±3.22） scores vs. （34. 59 ± 3.45） scores], SDS [ （50. 11 ± 4. 63） scores vs. （39. 17 ± 3.66） scores], all item scores and total score of sleep quality [ （9. 37 ± 2. 11） scores vs. （7. 10 ± 1.82） scores], and significant rise in QOL score [ （23.33 ± 4. 58） scores vs. （27. 17 ± 5.13） scores] in combined intervention group, P〈 0. 05 or 〈0. 01. Conclasion.. Relaxation training combined mindfulness therapy can significantly improve PCI perioperative psychological state and quality of life in aged CHD patients.