正念干预对慢性心力衰竭患者不适症状的影响

Effects of mindfulness intervention on physical distress in patients with chronic heart failure

目的探讨正念干预对慢性心力衰竭患者不适症状的影响。方法将2017年1月-3月在本院就诊的36例慢性心力衰竭患者设为对照组,采用常规的护理方法;将2017年4月-6月在本院就诊的44例慢性心力衰竭患者设为观察组,在常规护理基础上实施正念干预。干预前和干预后8周采用疲劳严重程度量(fatigue severity scale,FSS)、NYHA心功能分级量表、Memorial心衰症状评估量表对两组患者进行评估。结果干预后观察组患者疲劳、心衰症状评估量表得分较对照组低(P<0.001,P<0.05);观察组心功能优于对照组(P<0.05)。结论正念干预可改善慢性心力衰竭患者疲劳、心力衰竭症状,促进患者心功能的恢复,从而提高患者生活质量。

Objective To explore the effect of mindfulness intervention on fatigue,heart failure and somatic discomfort caused by cardiac dysfunction in patients with chronic heart failure.Methods A total of 36 patients with chronic heart failure admitted to our cardiovascular department from January to March in 2017 were assigned into control group,and another 44 patients with chronic heart failure treated in our hospital from April to June 2017 into observation group.The observation group was given mindfulness intervention on the basis of routine nursing intervention.Both the two groups of patients were assessed before and after 8 weeks intervention using the fatigue rating scale,the NYHA grading scale basing on self-symptoms,and the memorial heart failure symptom scale.Result The fatigue degree,heart function grading,and patient's self-feeling symptom severity in the observation group were significantly better than those of the control group (P<0.05).Conclusion Mindfulness intervention can improve fatigue,heart failure and physical discomfort caused by poor cardiac function in patients with chronic heart failure,thereby improving the quality of life of patients.