放松疗法应用于老年慢性充血性心衰患者焦虑、抑郁情绪改善效果分析

The Effect of Relaxation Therapy on Anxiety and Depression of Elderly Patients with Chronic Congestive Heart Failure

目的：探讨老年慢性充血性心衰（CHF）患者接受放松疗法后其焦虑、抑郁情绪改善情况。方法：从2016年4月-2017年5月在我院接受治疗的老年CHF患者中随机选取72例分为常规组（常规心理护理,n=36）、观察组（放松疗法干预,n=36）,回顾分析两组干预效果。结果：干预后,观察组患者汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）评分均明显低于常规组（t=9.054,10.171;P〈0.05）,LVEF、心功能分级、自我效能感改善程度均大于常规组（t=9.431,χ2=6.250,t=9.379;P〈0.05）;观察组住院时间、出院后因心衰再住院率均显著低于常规组（χ2=4.180,P〈0.05）。结论：在常规心理护理基础上实施放松疗法,可有效改善老年CHF患者焦虑、抑郁不良情绪,改善患者心功能,提高患者自我效能感。

Objective：To explore the improvement of anxiety and depression in elderly patients with chronic congestive heart failure after relaxation therapy.Methods：A total of 72 cases of elderly CHF patients treated in our hospital from 2016.04-2017.05 were randomly divided into regular group（Conventional psychological care,n=36）and observation group（Relaxation therapy intervention,n=36）,the effects of the two groups were analyzed retrospectively.Results：After the intervention,in the observation group,the scores of HAMD and HAMA were significantly lower than those in the regulor group（t=9.054,10.171;P〈0.05）,LVEF,cardiac function grading and self-efficacy improvement in obser vation group were all greater than that in the conventional group（t=9.431,χ2=6.250,t=9.379;P〈0.05）;The rate of hospitalization in the observation group was significantly lower than that in the regular group（χ2=4.180,P〈0.05）.Conclusion：Relaxation therapy on the basis of conventional psychological care can effectively improve the anxiety and depression in elderly CHF patients,and improve the patient＇s cardiac functionand and self-efficacy.