群体有氧运动对冠心病合并精神心理问题患者心理康复的效果分析

Effects of group-based aerobic exercise on psychological rehabilitation of patients with coronary heart disease complicated with mental and psychological problems

目的探究对冠心病合并精神心理问题患者开展群体有氧运动干预的临床价值。方法100例冠心病合并精神心理问题患者依据平衡序贯法将患者分为对照组与观察组,各50例。对照组采取常规干预,观察组采取群体有氧运动。对比两组干预前后有氧代谢能力及运动耐力指标改善情况、心功能改善情况、心理康复评分。结果干预后,观察组峰值摄氧量(VO_(2)peak)、峰值功率(PP)、运动持续时间(ED)均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组左室舒张末期容积指数(LVEDVI)、左室收缩末期容积指数(LVESVI)低于对照组,左室射血分数(LVEF)高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分分别为(6.11±1.69)、(5.15±0.47)分,均低于对照组的(9.32±3.28)、(7.36±1.43)分,差异均有统计学意义(P<0.05)。结论对冠心病合并精神心理问题患者开展临床护理干预,建议采纳群体有氧运动方案,可有效改善患者运动耐力并促进其心理康复。

Objective To investigate the clinical value of group-based aerobic exercise intervention in patients with coronary heart disease complicated with mental and psychological problems.Methods 100 patients with coronary heart disease complicated with mental and psychological problems were divided into the control group and the observation group according to the balance sequential method,with 50 cases in each group.Patients in the control group received routine intervention,and patients in the observation group were intervened by doing group-based aerobic exercise.The improvements of aerobic metabolism,exercise endurance indicators,cardiac function and psychological rehabilitation score were compared between the two groups before and after the intervention.Results After the intervention,the peak oxygen uptake(VO_(2)peak),peak power(PP)and exercise duration(ED)of the observation group were significantly higher than those of the control group;and the differences were statistically significant(P<0.05).After the intervention,the left ventricular end diastolic volume index(LVEDVI)and left ventricular end systolic volume index(LVESVI)of the observation group were lower than those of the control group,the left ventricular ejection fraction(LVEF)of the observation group was higher than that of the control group;and the differences were statistically significant(P<0.05).After the intervention,the observation group had Hamilton Anxiety Scale(HAMA)score of(6.11±1.69)points and Hamilton Depression Scale(HAMD)score of(5.15±0.47)points,which were lower than(9.32±3.28)and(7.36±1.43)points of the control group,respectively;and the differences were statistically significant(P<0.05).Conclusion Group-based aerobic exercise scheme in patients with coronary heart disease complicated with mental and psychological problems can effectively improve the exercise endurance of patients and promote their psychological rehabilitation.