电针预处理联合生活干预护理对老年冠心病患者心绞痛症状控制及负面情绪的影响

Effect of electroacupuncture preconditioning combined with life intervention on the control of angina symptoms and negative mood in elderly patients with coronary heart disease

目的探讨电针预处理联合生活干预护理对老年冠心病患者心绞痛症状控制及负面情绪的影响。方法选择2013年1月至2014年1月于本院住院治疗的老年冠心病患者80例,按照最小不平衡指数法分为观察组和对照组,每组40例。观察组采用生活干预护理联合电针预处理,对照组仅采用常规护理,干预14天后比较两组患者的心绞痛发生情况、焦虑自评量表(self-rating anxietyscale,SAS)评分、抑郁自评量表(self-ratingdepressionscale,SDS)评分及护理满意度。结果观察组患者心绞痛症状控制总有效率为95.0%(38/40),明显高于对照组的82.5%(33/40),差异有显著性(Z=-3.95,P=0.000)。干预前两组患者SAS、SDS评分比较差异无显著性(t=0.44,P=0.67;t=0.15,P=0.71),干预后两组SAS、SDS评分均较治疗前明显降低,差异有显著性(对照组:t=2.92,P=0.01;t=11.16,P=0.00;观察组:t=8.87,P=0.00;t=22.01,P=0.00),且观察组SAS、SDS评分明显低于对照组,差异有显著性(t=5.47,P=0.00;t=2.63,P=0.00)。观察组患者的护理满意度为97.50%(39/40),明显高于对照组的82.50%(33/40),差异有显著性(χ2=4.82,P=0.03)。结论电针预处理联合生活干预护理可有效控制老年冠心病患者的心绞痛症状,改善焦虑及抑郁状态,提高住院期间的护理满意度。

Objective To analyze the effect of electroacupuncture pretreatment combined with life intervention on the symptom control and negative emotion of elderly patients with coronary heart disease. Method This study selected 80 cases of elderly patients with coronary heart disease in our hospital from January 2013 to January 2014. The patients were divided into observation group（40 cases） and control group（40 cases） according to the method of minimum unbalance index. The observation group was treated with life intervention combined with electro acupuncture, and the control group was treated with routine nursing care. After 14 days, the incidence of angina pectoris, SAS, SDS score and nursing satisfaction were compared between the two groups. Result The total effective rate of angina pectoris symptom control in the observation group was 95.0%（38/40）, which was significantly higher than that in the control group 82.5%（33/40）. The difference was significant（Z=-3.95, P=0.000）. There was no significant difference in SAS and SDS scores between the two groups before intervention（t=0.44, P=0.67; t=0.15, P=0.71）. After treatment, the SAS and SDS scores of the two groups were significantly lower than those before treatment. The difference was significant.（control group： t=2.92, P=0.01; t=11.16, P=0.00; observation group： t=8.87, P=0.00; t=22.01, P=0.00）, and the SAS and SDS scores of the observation group were significantly lower. In the control group, the difference was significant（t=5.47, P=0.00; t=2.63, P=0.00）. The nursing satisfaction of the observation group was 97.50%（39/40）, which was significantly higher than that of the control group 82.50%（33/40）. The difference was significant（χ2=4.82, P=0.03）. Conclusion Electroacupuncture preconditioning combined with lifestyle intervention nursing method can effectively improve the anxiety and depression of elderly patients with coronary heart disease, the symptoms of patients with angina pectoris can be well controlled, and can improve the satisfaction of patients during hospitalization.