团队心理疏导对老年慢性心力衰竭弹性心理及生活质量影响

Effect of team psychological counseling on elasticity and quality of life of elderly patients with chronic heart failure

目的:研究老年慢性心力衰竭患者使用团队心理疏导对弹性心理及生活质量改善情况。方法:选择某院2016年5月至2018年5月收治的老年慢性心力衰竭患者80例,随机分为观察组和对照组各40例,其中对照组常规心理干预,观察组在此基础上实施团队心理疏导。观察两组患者干预前后心绞痛发作次数及持续时间,对比西雅图心绞痛量表(SAQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、心理弹性量表(CD-RISC)评分,并分析弹性心理和生活质量间相关性。结果:观察组干预后心绞痛发作次数、持续时间、SAQ量表评分改善情况均优于对照组(t=-3.155,-4.072,5.247;P<0.01)。观察组干预后SDS量表评分低于对照组(t=-3.826,P<0.001)。观察组干预后CD-RISC量表中总分、坚韧、乐观、自强评分均高于对照组(t=4.916,3.381,3.319,2.729;P<0.01)。Pearson相关性分析显示,干预后CD-RISC量表评分中坚韧、乐观、自强、总分与SAQ量表评分呈正相关(r=0.644,0.308,0.455,0.734;P<0.001)。结论:老年慢性心力衰竭患者使用团队心理疏导能有效提高弹性心理评分,对心绞痛发作次数及持续时间均有积极影响,且有利于日常生活质量改善,具有一定临床推广价值。

Objective:To study the improvement of elastic psychology and quality of life of the elderly patients with chronic heart failure treated with team psychological counseling.Methods:A total of 80 patients with chronic heart failure in our hospital from May 2016 to May 2018 were selected randomly, and divided into the observation group(40 patients)and the control group(40 patients).The control group received routine psychological intervention, and the observation group received team psychological counseling based on the routine psychological intervention.The number and duration of angina attack before and after the intervention of two groups were observed, and the scores of SAQ,SAS,SDS and CD-RISC were compared;The relationship between elastic psychology and quality of life was analyzed.Results:After intervention, the frequency and duration of angina attacks and the scores of SAQ in the observation group were better than those in the control group(t=-3.155,-4.072,5.247;P<0.01),the scores of SDS in the observation group was lower than that in the control group(t=-3.826,P<0.001),the total score of CD-RISC,and the scores of toughness, optimism and self-strength in the observation group were significantly higher than those in the control group(t=4.916,3.381,3.319,2.729;P<0.01).Pearson correlation analysis showed that the scores of toughness, optimisim, self-strength and the total score of CD-RISC were positively correlated with the scores of SAQ(r=0.644,0.308,0.455,0.734;P<0.001).Conclusion:The use of team psychological counseling in the elderly patients with chronic heart failure can effectively improve the score of elastic psychology, had a positive impact on the frequency and duration of angina attacks, and can be conductive to the improvement of quality of daily life, which has a certain clinical promotion value.