正念音乐联合放松疗法对老年冠心病患者不良情绪的干预效果

Effect of mindfulness music combined with relaxation therapy on unhealthy emotions in elderly patients with coronary heart disease

目的探讨正念音乐联合放松疗法对老年冠心病患者不良情绪的干预效果。方法本研究对象为我院2018年6月~2020年6月96例老年冠心病患者,均合并焦虑或抑郁,数字表法随机分为对照组与观察组,两组均接受心内科治疗,对照组采用常规心理干预,观察组采用正念音乐联合放松疗法。比较干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI);检测干预前后左心室射血分数(LVEF),评估西雅图心绞痛调查量表(SAQ)。结果两组干预后SAS评分、SDS评分、PSQI较干预前均明显下降,且干预后观察组均显著低于对照组(P<0.05);两组干预后LVEF以及SAQ评分较干预前均明显增加,且干预后观察组均显著高于对照组(P<0.05)。结论正念音乐联合放松疗法能有效缓解老年冠心病患者不良情绪以及睡眠质量,并有助于改善冠心病疾病的预后。

Objective To explore the intervention effect of mindfulness music combined with relaxation therapy on the bad mood of elderly patients with coronary heart disease.Methods Ninety-six elderly patients with coronary heart disease from June 2018 to June 2020 in our hospital were the subjects of this study,and all with anxiety or depression.They were randomly divided into control group and observation group by the number table method.Both groups received cardiology treatment and control group was treated with conventional psychological intervention,and the observation group was treated with mindfulness music combined with relaxation therapy.The self-rating anxiety scale(SAS),self-rating depression scale(SDS),Pittsburgh sleep quality index(PSQI)were compared before and after the intervention;and the left ventricular ejection fraction(LVEF)before and after the intervention were measured,and the Seattle angina pectoris questionnaire(SAQ)was evaluated.Results The SAS score,SDS score,and PSQI of the two groups after the intervention were significantly lower than those before the intervention,and the observation group after the intervention were significantly lower than the control group(P<0.05).After the intervention,the LVEF and SAQ scores of the two groups were significantly increased compared with those before the intervention,and the observation group after the intervention was significantly higher than the control group(P<0.05).Conclusion Mindfulness music combined with relaxation therapy can effectively relieve the bad mood and sleep quality of elderly patients with coronary heart disease,and help improve the prognosis of coronary heart disease.