中医情志护理联合八段锦在慢性肺源性心脏病患者护理中的应用

Application of emotional nursing of traditional Chinese medicine combined with Ba Duan Jin exercise in the nursing of patients with chronic pulmonary heart disease

目的探讨中医情志护理联合八段锦对慢性肺源性心脏病的疗效。方法选取慢性肺源性心脏病稳定期患者86例为研究对象,随机分为观察组和对照组,每组43例。对照组给予常规护理,观察组予以中医情志护理加八段锦锻炼,2个月后,比较2组患者焦虑抑郁情绪、心肺功能及生活质量。结果干预后,2组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及左室后壁厚度(LVPWD)均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,2组左室射血分数(LVEF)、第1秒用力呼气容积与用力肺活量比值(FEV_(1)/FVC)、第1秒用力呼气容积占预计值百分比(FEV_(1)%)及生活质量综合评定问卷(GQOLI-74)各维度评分、总评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论中医情志护理联合八段锦运动的疗护方案,能够有效减轻慢性肺源性心脏病患者负性情绪,改善心肺功能,提高生活质量。

Objective To investigate the efficacy of emotional nursing of traditional Chinese medicine(TCM)combined with Ba Duan Jin exercise on chronic pulmonary heart disease.Methods A total of 86 patients with stable chronic pulmonary heart disease were selected and randomly divided into observation group and control group,with 43 patients in each group.The control group received routine nursing care,while the observation group received TCM emotional nursing combined with Ba Duan Jin exercise.After two months,the anxiety and depression emotions,cardiopulmonary function,and quality of life were assessed and compared between the two groups.Results After the intervention,the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)scores,and left ventricular posterior wall diameter(LVPWD)of both groups were lower than before the intervention,with the observation group showed significantly lower scores compared to the control group(P<0.05).Meanwhile,the left ventricular ejection fraction(LVEF),lung function indicators[forced expiratory volume in one second to forced vital capacity ratio(FEV_(1)/FVC),FEV_(1)as a percentage of the predicted value(FEV_(1)%)],and various dimensions and total scores of the General Quality of Life Inventory-74(GQOLI-74)for quality of life of two groups after the intervention were higher than before the intervention,and the observation group showed higher scores than the control group(P<0.05).Conclusion TCM emotional nursing combined with Ba Duan Jin exercise can effectively alleviate negative emotions,improve cardio pulmonary function,and enhance the quality of life of patients with chronic pulmonary heart disease.