放松疗法对老年慢性心力衰竭合并糖尿病焦虑抑郁患者的影响

Effect of Relaxation Therapy on Elderly Patients with Chronic Heart Failure and Diabetes,Anxiety and Depression

目的探讨放松疗法对老年慢性心力衰竭合并糖尿病焦虑抑郁患者应用效果。方法选取2018年1月—2019年10月该院收治的88例慢性心力衰竭合并糖尿病患者,按随机数表法分为两组,各44例。对照组给予常规护理,观察组在对照组基础上采用放松疗法。对比两组焦虑抑郁情绪、血糖水平及心功能指标。结果干预前两组焦虑抑郁情绪对比,差异无统计学意义(P>0.05),观察组干预3个月SAS(43.53±5.27)分、SDS(45.21±5.14)分,低于对照组,差异有统计学意义(P<0.05);观察组干预3个月后空腹血糖(6.18±1.49)mmol/L、餐后2 h血糖(7.52±1.67)mmol/L,低于对照组,左室射血分数(54.89±5.13)%,高于对照组,差异有统计学意义(P<0.05)。结论放松疗法可有效缓解老年慢性心力衰竭合并糖尿病焦虑抑郁患者的焦虑抑郁情绪,降低血糖,并提升心功能。

Objective To explore the application effect of relaxation therapy on elderly patients with chronic heart failure and diabetes,anxiety and depression.Methods A total of 88 patients with chronic heart failure and diabetes mellitus admitted to the hospital from January 2018 to October 2019 were selected and divided into two groups according to a random number table,with 44 cases in each group.The control group was given routine nursing care,and the observation group was given relaxation therapy on the basis of the control group.Compared the two groups of anxiety and depression,blood glucose levels and heart function indicators.Results There was no statistically significant difference in anxiety and depression between the two groups before the intervention(P>0.05).The SAS(43.53±5.27)points and SDS(45.21±5.14)points of the observation group were lower than those of the control group after 3 months of intervention,the difference was statistically significant(P<0.05);after 3 months of intervention,the observation group’s fasting blood glucose(6.18±1.49)mmol/L and 2 h postprandial blood glucose(7.52±1.67)mmol/L,were lower than the control group,left ventricular ejection fraction(54.89±5.13)%,was higher than the control group,the difference was statistically significant(P<0.05).Conclusion Relaxation therapy can effectively relieve anxiety and depression in elderly patients with chronic heart failure combined with diabetes,anxiety and depression,lower blood glucose,and improve heart function.