耳穴贴压联合正念减压疗法对冠心病PCI术后心理障碍患者生活质量的影响

Effects of Auricular Point Sticking Combined with Mindfulness Decompression Therapy on Life Quality of Patients with Psychological Disorders after Percutaneous Coronary Intervention

目的观察耳穴贴压联合正念减压疗法对冠心病PCI术后合并心理障碍患者生活质量的影响。方法选择2018年1月-2019年12月我院收治的冠心病PCI术后合并心理障碍患者72例为研究对象,采用数字随机表法将研究对象随机分为治疗组和对照组各36例;对照组给予冠心病PCI术后健康教育、饮食及运动指导、药物管理等常规护理干预措施;治疗组在对照组基础上给予耳穴贴压联合正念减压疗法的综合干预方案;连续干预8周后比较两组患者焦虑抑郁程度、心绞痛症状、生活质量及自我效能。结果治疗组干预后焦虑自评量表(SAS)评分与抑郁自评量表(SDS)评分分别为(32.45±5.12)分、(32.35±5.14)分,对照组SAS与SDS评分分别为(37.26±5.28)分、(38.12±5.21)分,两组比较差异均有统计学意义(P<0.05);治疗组干预后西雅图心绞痛量表(SAQ)各维度评分均高于对照组干预后,差异均有统计学意义(P<0.05);治疗组干预后中国心血管病人生活质量评定问卷(CQQC)评分为(69.54±7.46)分,对照组干预后CQQC评分为(50.86±5.67)分,两组比较差异有统计学意义(P<0.05);治疗组干预后一般自我效能量表(GSES)评分为(3.64±0.46)分,对照组干预后GSES评分为(2.86±0.51)分,两组比较差异有统计学意义(P<0.05)。结论耳穴贴压联合正念减压疗法的综合干预方案有助于改善冠心病PCI术后患者负性情绪及临床症状,提高患者生活质量与自我效能。

Objective:To observe the effects of auricular point sticking combined with mindfulness decompression on the life quality of patients with coronary heart disease complicated with psychological disorders after PCI.Methods:72 patients with psychological disorders after PCI in our hospital from January 2018 to December 2019 were randomly divided into treatment group and control group,36 cases in each group;the control group was given routine nursing intervention measures such as health education,diet and exercise guidance,drug management,etc.;the treatment group was given auricular point sticking on the basis of the control group.After 8 weeks of continuous intervention,anxiety and depression degree,angina symptoms,quality of life and self-efficacy were compared between the two groups.Results:The scores of SAS and SDS in the treatment group were(32.45±5.12)and(32.35±5.14)respectively after the intervention,while those of the control group were(37.26±5.28)(38.12±5.21)respectively,and the differences between the two groups were statistically significant(P<0.05);after intervention,the scores of all dimensions of SAQ in the treatment group were higher than those in the control group after intervention,the difference was statistically significant(P<0.05);after intervention,the scores of CQQC in the treatment group were(69.54±7.46)and(50.86±5.67)in the control group(P<0.05);the general self-efficacy scale(GSES)score in the treatment group was(3.64±0.05)After the intervention,the GSES score of the control group was(2.86±0.51),and the difference between the two groups was statistically significant(P<0.05).Conclusion:The comprehensive intervention program of auricular point sticking combined with mindfulness decompression therapy can improve the negative emotions and clinical symptoms of patients with coronary heart disease after PCI,and improve the quality of life and self-efficacy of patients.