自我效能干预联合正念减压疗法在老年冠心病伴高血脂患者护理中的应用

Application of Self-Efficacy Intervention Combined with Mindfulness Decompression Therapy in the Nursing of Elderly Patients with Coronary Heart Disease and Hyperlipidemia

目的探究自我效能干预联合正念减压疗法对老年冠心病伴高血脂患者心理应激反应及心功能的影响。方法方便选择2017年4月—2018年2月该院老年冠心病伴高血脂患者86例为研究对象,随机分为2组,各43例,对照组行常规护理,观察组加行自我效能干预联合正念减压疗法,对两组患者干预前后的心理应激反应和心功能改善情况进行观察分析。结果两组患者干预前的SDS、SAS得分差异无统计学意义(P>0.05),观察组干预后SDS、SAS得分均较对照组低差异有统计学意义(t=6.833、5.709,P<0.05);干预后,观察组的LVDs(29.19±3.38)mm、LVDd(46.55±4.77)mm、LVEF(62.86±3.57)%,均显著优于对照组(t=3.817、2.855、6.681,P<0.05);观察组干预后的生活质量(QOL-C30)总分(76.38±5.08)分,较对照组的(70.23±4.49)分显著升高,差异有统计学意义(t=5.918,P=0.000)。结论自我效能干预联合正念减压疗法可改善老年冠心病伴高血脂患者的心理状态,也能促进患者心功能恢复和生活质量的改善,值得在临床中推广应用。

Objective To investigate the effects of self-efficacy intervention combined with mindfulness decompression therapy on psychological stress response and cardiac function in elderly patients with coronary heart disease and hyperlipidemia.Methods From April 2017 to February 2018,86 patients with coronary heart disease and hyperlipidemia in the hospital were conveniently selected as subjects.They were randomly divided into two groups.Eeah of 43 patients.The control group received routine nursing.The observation group added self-efficacy intervention combined with mindfulness.Decompression therapy was used to observe and analyze the psychological stress response and improvement of cardiac function before and after intervention in the two groups of patients.Results There was no significant difference in SDS and SAS scores between the two groups before intervention(P>0.05).The scores of SDS and SAS in the observation group were lower than those in the control group,the different was statistically siguificant(t=6.833、5.709,P<0.05).After the intervention,The LVDs(29.19±3.38)mm,LVDd(46.55±4.77)mm,and LVEF(62.86±3.57)%of the observation group were significantly better than the control group the different was statistically siguificant(t=3.817、2.855、6.681,P<0.05).The total quality of life(QOL-C30)after intervention in the observation group(76.38±5.08)points was significantly higher than that of the control group(70.23±4.49)points,the different was statistically siguificant(t=5.918,P=0.000).Conclusion Self-efficacy intervention combined with mindfulness decompression therapy can improve the psychological state of elderly patients with coronary heart disease and hyperlipidemia,and can also improve the recovery of heart function and quality of life.It is worthy of popularization in clinical practice.