太极操训练联合正念减压疗法应用于冠心病PCI术后患者的效果

Effect of Tai Chi exercise training combined with mindfulness-based stresstherapy on patients with coronary heart disease after PCI

目的探讨太极操训练联合正念减压疗法(MBSR)应用于冠心病经皮冠状动脉介入手术(PCI)术后患者的效果。方法将郑州市第七人民医院2022年1月收治的至2023年1月108例冠心病PCI术后患者作为研究对象,按照随机数字表分为对照组(n=54)和观察组(n=54)。两组患者均给予常规护理和运动训练,对照组给予太极操训练干预,观察组在对照组基础上给予MBSR干预,观察两组正念觉知水平、心理情况、日常生活能力。结果治疗后,观察组简明版五因素正念量表(FFMQ⁃SF)得分(69.84±9.61)分高于对照组(52.15±8.15)分(P<0.05);观察组日常生活能力量表各维度得分分别为(10.11±1.23)分、(16.24±4.23)分低于对照组(10.73±1.34)分、(23.36±4.22)分(P<0.05);观察组抑郁焦虑压力量表中文简版(DASS21)得分(4.35±1.22)分、(3.31±0.67)分、(6.25±1.17)分均低于对照组(6.26±1.34)分、(5.24±1.25)分、(8.36±1.14)分(P<0.05)。结论太极操训练联合MBSR应用于冠心病PCI术后患者可以有效提高其正念觉知水平,改善心理情况,提高日常生活能力。

Objective To explore the effect of Tai Chi exercise training combined with mindfulness-based stress reduction(MBSR)on patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods A total of 108 patients with coronary heart disease after PCI at Zhengzhou Seventh People's Hospital from January 2022 to January 2023 were selected as the study subjects and randomly divided into a control group(n=54)and an observation group(n=54)according to a random number table.Both groups of patients were given routine care and exercise training,while the control group received intervention in Tai Chi exercise.The observation group received MBSR intervention on the basis of the control group,and the mindfulness awareness level,psychological condition,and daily living ability of both groups were observed.Results After treatment,the observation group had a higher score(69.84±9.61)on the simplified five factor mindfulness scale(FFMQ-SF)than the control group(52.15±8.15),P<0.05;The scores of each dimension of the daily living ability scale in the observation group were(10.11±1.23)points and(16.24±4.23)points,respectively,lower than those in the control group(10.73±1.34)points and(23.36±4.22)points(P<0.05);The Chinese version of the depression anxiety stress scale(DASS21)in the observation group scored(4.35±1.22)points,(3.31±0.67)points,and(6.25±1.17)points,lower than the control group(6.26±1.34)points,(5.24±1.25)points,and(8.36±1.14)points(P<0.05).Conclusion The application of Tai Chi exercise combined with MBSR in patients with coronary heart disease after PCI can effectively improve their awareness of mindfulness,improve their psychological condition,and enhance their daily living ability.