静默疗法对经皮冠状动脉介入治疗老年患者急性应激障碍的干预效果

Intervention effects of meditation therapy on acute stress disorder in elderly patients undergoing percutaneous coronary intervention

目的探讨静默疗法对经皮冠状动脉介入(percutaneous coronary intervention,PCI)治疗老年冠心病患者急性应激障碍及睡眠质量的干预效果。方法选取2018年1月至2019年12月接受PCI治疗的老年冠心病患者120例随机分为试验组和对照组,每组60例。对照组采用冠心病常规护理,试验组在常规护理基础上接受为期4周的静默疗法。于干预前和干预4周后,采用急性应激障碍量表(acute stress disorder scale,ASDS)、匹兹堡睡眠指数量表(pittsburgh sleep quality index,PSQI)评价干预效果。结果2组患者干预前ASDS、PSQI各维度得分及总分差异无统计学意义(P>0.05);干预后,试验组分离症状、再体验症状、回避症状、高警觉症状和ASDS总分较对照组明显降低,同时试验组睡眠质量、睡眠时间、睡眠效率及PSQI总分也明显低于对照组,差异有统计学意义(P<0.05)。结论静默疗法可有效缓解老年冠心病PCI治疗患者围术期急性应激障碍,改善其睡眠质量。

Objective To investigate the intervention effects of meditation therapy on the acute stress disorder in elderly patients undergoing percutaneous coronary intervention(PCI).Methods A total of 120 elderly patients with coronary heart disease who underwent PCI in our hospital from January 2018 to December 2019 were enrolled in the study,who were randomly divided into experimental group and control group,with 60 cases in each group.The patients in control group were treated by routine nursing,however,the patients in experimental group,on the basis of control group,were treated by 4-weekmeditation therapy.Before intervention and after 4-week intervention,the intervention effects were assessed by Acute stress disorder scale(ASDS)and Pittsburgh sleep quality index(PSQI).Results Before intervention,there were no significant differences in ASDS,PSQI scores between two groups(P>0.05).After intervention,the symptoms scores of dissociation,re-experiencing,avoidance,awakening and ASDS total scores in experimental group were significantly decreased,moreover,the subjective sleep quality,sleep duration,sleep efficiency scores and PSQI total scores in experimental group were significantly lower than those in control group(P<0.05).Conclusion The meditation therapy can effectively alleviate the acute stress disorder and improve sleep quality of elderly patients with CHD undergoing percutaneous coronary intervention.