双心护理联合放松训练对慢性心力衰竭患者焦虑及抑郁影响的临床研究

Clinical study on the effect of double-heart nursing combined with relaxation training on anxiety and depression in patients with chronic heart failure

目的探讨双心护理联合放松训练在慢性心力衰竭(CHF)患者中的应用效果。方法选取2019年6月至2021年6月江西省萍乡市人民医院收治的70例CHF患者作为研究对象,采用随机数字表法分为对照组和观察组,各35例。对照组采取常规干预,观察组在常规干预基础上采取双心护理联合放松训练,干预1周。比较两组患者焦虑、抑郁情绪、生活质量、再入院率、并发症发生情况和护理总满意度。结果两组患者干预前健康调查简表(SF-36)评分比较,差异无统计学意义(P>0.05);观察组干预后SF-36评分高于对照组,差异有统计学意义(P<0.05)。两组患者干预前焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);观察组干预后SAS、SDS低于对照组,差异有统计学意义(P<0.05)。观察组再入院率、并发症总发生率均低于对照组,差异有统计学意义(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论双心护理联合放松训练能够减轻CHF患者焦虑、抑郁情绪,提升生活质量,减少再住院和并发症发生,利于改善患者预后,提高护理满意度。

Objective To explore the effect of dual-heart nursing combined with relaxation training in patients with chronic heart failure(CHF).Methods A total of 70 CHF patients admitted to Pingxiang People′s Hospital from June 2019 to June 2021 were selected as the research objects,they were divided into control group and observation group according to random number table method,with 35 cases in each group.The control group took routine intervention,and the observation group took double-heart nursing combined with relaxation training on the basis of routine intervention for 1 week.The anxiety,depression,quality of life,readmission rate,complications and total nursing satisfaction were compared between the two groups.Results There were no statistically significances between the two groups in the scores of 36-item short form health survey(SF-36)before intervention(P>0.05).The SF-36 score of the observation group after intervention was higher than that of the control group,the difference was statistically significant(P<0.05).There were no statistically significances in the scores of the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)between two groups before intervention(P>0.05).The SAS and SDS of the observation group after intervention were lower than those of the control group,the differences were statistically significant(P<0.05).The readmission rate and total complication rate of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The total nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Double-heart nursing combined with relaxation training can reduce anxiety and depression in CHF patients,improve the quality of life,reduce rehospitalization and complications,and improve the prognosis of patients and increase nursing satisfaction.