基于中医情志护理的健康宣教结合五音疗法对冠心病经皮冠状动脉介入术术后患者焦虑抑郁及睡眠质量的影响

Effect of health education based on traditional Chinese medicine sentiment nursing combined with five-tone therapy on anxiety, depression and sleep quality in patients after percutaneous coronary intervention

目的观察基于中医情志护理的健康宣教结合五音疗法对冠心病经皮冠状动脉介入术(PCI)术后患者焦虑抑郁及睡眠质量的影响。方法选择2022年1月至2023年8月赣南医学院第一附属医院收治的60例行PCI的冠心病患者为研究对象,按照随机数字表法将其分为对照组(30例)、观察组(30例),对照组采用常规护理,观察组采用基于中医情志护理的健康宣教结合五音疗法护理。比较两组患者的睡眠质量、焦虑和抑郁情绪、健康行为、中医证候积分情况。结果观察组护理后的Spiegel睡眠量表评分低于对照组,差异有统计学意义(P<0.05)。观察组护理后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05)。观察组护理后的健康行为评分高于对照组,差异有统计学意义(P<0.05)。观察组护理后的心胸疼痛、胸闷、心悸、气短、心中烦躁、夜寐不安、精神不振评分均低于对照组,差异有统计学意义(P<0.05)。结论冠心病PCI术后给予患者基于中医情志护理的健康宣教结合五音疗法,可明显改善患者睡眠质量、心理状态,缓解患者心胸疼痛、胸闷、心悸等症状,改善患者健康行为,可广泛应用。

Objective To observe the effect of health education based on traditional Chinese medicine sentiment nursing combined with five-tone therapy on anxiety,depression and sleep quality in patients after percutaneous coronary intervention(PCI).Methods A total of 60 patients with coronary heart disease undergoing PCI admitted to the First Affiliated Hospital of Gannan Medical College from January 2022 to August 2023 were selected as the study objects,and they were divided into control group(30 cases)and observation group(30 cases)according to random number table method.The control group received routine nursing,and the observation group received health education combined with five-tone therapy nursing based on traditional Chinese emotional nursing.The sleep quality,anxiety and depression,health behavior and traditional Chinese medicine syndrome score of the two groups were observed.Results The score of Spiegel sleep scale after nursing in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The score of health behavior after nursing in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).After nursing,the scores of cardiothoracic pain,chest tightness,palpitation,shortness of breath,irritability,sleeplessness and lethargy in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Health education combined with five-tone therapy based on traditional Chinese emotional care after PCI can significantly improve patients'sleep quality and psychological state,relieve patients'cardiothoracic pain,chest tightness,palpitation and other symptoms,and improve patients'health behavior,which can be widely used.