双心医学在老年冠脉介入患者负性情绪、睡眠质量及自我管理能力的影响

The effects of Psycho-Cardiology on negative emotion, sleep quality and self-management ability in patients with senile coronary intervention

目的探讨双心医学对老年冠脉介入患者负性情绪、睡眠质扈及自我管理能力的影响方法选取中国医科大学附属盛京医院择期行冠脉介入手术的老年患者120例,随机数字表法分组:对照组给予围术期常规护理,观察组在对照组基础上给予双心医学干预.包括:个体化心理干预、运动干预、认知干预、放松疗法。对比两组治疗前后,负性情绪(anxiety sell-rating scale,SAS、depression self-rating scale,SDS)、匹兹堡睡眠质量指数(pittsburgh sleep quality index, PSQI)、西雅图心绞痛调查量表(seattie angina questionnaire, SAQ)、术后并发症、自我管理行为调查问卷(self-management behavior questionnaire,CSMS);结果治疗前两组SAS、SDS评分无明显差异(t=0.335,0.698, P> 0.05);治疗后,观察组SAS.SDS评分明显低于对照组(t=7.704.8.052,P<0.05)。治疗前两组PSQI 各项评分无明显差异(t=0.606、0.249、0.247、0.149、0.084、0.301、0.279、0.185,P>0.05);观察组治疗后睡眠效率、睡眠障碍、睡眠时间、睡眠质量、入睡时间及总分均明显低于治疗前(t=3.566、7.507、2.472、2.471 J.265 ,7.727, P<0.05);治疗后,观察组睡眠效率、睡眠障碍、睡眠时间、睡眠质量、入睡时间及总分均明显低于对照组(t=3.521 ,5.625,3.857,2.954、3.327、6.113, P <0.05)。治疗前两组SAQ各项评分无明显差异(t=0.386、0.273、13.628、O.1O5、O.213,P>0.05);观察组治疗后 PL、AS、AF、TS、DP评分明显高于治疗前(t=9.545、8.895、13.628.24.564、20.439,P<0.05);对照组治疗后 PL、AS、AF、TS、DP评分明显高于治疗前(t=4.294,8.122、6.199.9.74611.067, P <0.05):治疗后,观察组 PL、AS、AF、TS、DP评分明显高于对照组(t=4.742、5.682、4.745、6.813、7.684,P<0.05)。观察组并发症总发生率明显低于对照组(x^2=3.871, P<0.05)结论对老年冠脉介入患者实施双心医学,减少了负性情绪,改善睡眠质量.提高了自我管理能力。

Objective To explore the influence of Psycho-Cardiology on the negative ennotion, sleep quality and self-management ability of patients with coronary intervention. Methods Elderly patients undergoing elective coronary intervention operation in our selected 120 cases, random number table method groups: control group given perioperative routine nursing care, observation group in the control group given on the basis of Psycho-Cardiology intervention, including: individualized psychological intervention, exercise intervention, relaxation therapy, cognitive intervention. Compared previous and posterior treatment in both groups, negative emotions (SAS, SDS), Pittsburgh sleep quality index (PSQI), Seattle angina investigation questionnaire (SAQ), postoperative complications, self-management behavior questionnaire (CSMS).Results There was no significant difference in SAS and SDS scores in the two groups before treatment (t=0.335, 0.69, P >0.05). After treatment, SAS and SDS scores in lhe observation group were significantly lower than those in the control group (t=7.704, 8.052, P <0.05). There was no significant difference in the scores of PSQI in the two groups before treatment (t=0.606, 0.249, 0.247, 0.149, 0.084, 0.301, 0.279, 0.185, P >0.05). After treatment, sleep efficiency, sleep disturbance, sleep duration, sleep quality, sleep duration and total score were significantly lower than before treatment (t=3.566, 7.507. 2.472, 2.471, 3.265, 7.727, P <0.05). After treatment, lhe observation group was significanlly lower than the control group (t=3.521. 5.625, 3.857, 2.954. 3.327, 6.1 13, P <0.05). There was no significant difference in the scores of SAQ in lhe two groups before treatment (t=0.386,O. 273, 13.628, 0.105, 0.213, P >0.05). After treatment, the scores of PL, AS, AF, TS and DP were significantly higher than those before treatment (t=9.545, 8.895, 13.628. 24.564, 20.439, P <0.05). After treatment, the scores of PL, AS, AF, TS and DP were significantly higher than those in the control group (t=4.294, 8.122, 6.199, 9.746. 11.067. P <0.05). After treatment, the observation group PL, AS, AF, TS and DP scores were significantly higher than the control group (t=4.742, 5.682, 4.745, 6.813, 7.684, P <0.05).The total incidence of complications in the observation group was significantly lower than that in the control group (x^2=3.871. P <0.05).Conclusion Psycho-Cardiology medicine was applied to patients with coronary intervention, which reduced negative emotion, improved sleep quality and improved self-management ability.