中药安神枕联合自我管理在改善冠心病患者负面情绪中的应用效果

Application effect of traditional Chinese medicine Anshen pillow combined with self-management in improving negative emotions of patients with coronary heart disease

目的探讨中药安神枕联合自我管理在改善冠心病患者负面情绪中的应用效果。方法选取2019年1月至12月南昌大学第二附属医院收治的100例冠心病患者,按照手术先后顺序分为对照组(50例)和研究组(50例)。对照组患者采取常规护理方法,研究组患者采取常规护理+中药安神枕联合自我管理方法。比较两组的负面情绪[汉密尔顿抑郁量表(HADA)、汉密尔顿焦虑量表(HAMA)]、西雅图心绞痛量表评分(SAQ评分)、自我管理评分以及睡眠质量评分[匹兹堡睡眠质量指数(PQSI)评分]。结果两组患者干预前的HADA、HAMA、SAQ、自我管理能力及PQSI评分比较,差异无统计学意义(P>0.05);干预后,研究组的HADA、HAMA、PQSI评分低于对照组,SAQ评分、自我管理能力评分高于对照组,差异有统计学意义(P<0.05)。结论中药安神枕联合自我管理在改善冠心病患者负面情绪方面的效果确切,能明显改善患者症状、睡眠质量,提升患者的自我管理能力,值得临床应用和推荐。

Objective To explore the application effect of traditional Chinese medicine Anshen pillow combined with self-management in improving negative emotions of patients with coronary heart disease.Methods A total of 100 patients with coronary heart disease admitted to the Second Affiliated Hospital of Nanchang University from January to December 2019 were selected and divided into the control group(50 cases)and the study group(50 cases)according to the operation sequence.The patients in the control group were given conventional nursing methods,while the patients in the study group were given conventional nursing+traditional Chinese medicine Anshen pillow combined with self-management methods.The negative emotions(Hamilton depression scale[HADA],Hamilton anxiety scale[HAMA]),Seattle angina questionnaire(SAQ)scale,self-management score and sleep quality score(Pittsburgh sleep quality index[PQSI])were compared between the two groups.Results There were no significant differences in HADA,HAMA,SAQ,self-management ability and PQSI scores between the two groups before intervention(P>0.05).After intervention,the scores of HADA,HAMA and PQSI in the study group were lower than those in the control group,while the scores of SAQ and self-management ability in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Traditional Chinese medicine Anshen pillow combined with self-management is effective in improving the negative emotions of patients with coronary heart disease,which can obviously improve their symptoms and their sleep quality,enhance their self-management ability,which is worthy of clinical application and recommendation.