综合性康复干预对房颤射频消融术后患者负性情绪和生活质量的影响  

Effect of comprehensive rehabilitation intervention on negative emotion and quality of life of patients after atrial fibrillation and radiofrequency ablation

作　　者：吴佳佳 朱瑞斐[1] 金敏丽 葛卫力[1] WU Jiajia;ZHU Ruifei;JIN Minli;GE Weili(Department of Vasculocardiology,Taizhou Hospital in Zhejiang Province,Linhai 317000,China)

机构地区：[1]浙江省台州医院心血管内科,浙江临海317000

出　　处：《中国现代医生》2018年第25期98-100,104,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2017KY164)

摘　　要：目的探讨综合性康复干预对房颤射频消融术后患者负性情绪和生活质量的影响。方法选取2016年1月～2017年12月拟行射频消融术治疗的阵发性房颤患者78例,分为干预组和对照组。两组均采取射频消融术,对照组术后给予心理安慰、健康教育、饮食干预和心电图检测等干预措施。干预组在对照组基础上加用综合性康复干预,两组均干预12周。评估两组干预前后负性情绪和生活质量变化。结果干预12周后,两组SDS和SAS评分均较前下降(P<0.05或P<0.01),且干预组下降幅度更显著(P<0.05);同时两组躯体功能、心理情感、社会功能和物质生活等4个分项评分均较前明显上升(P<0.05或P<0.01),且干预组上升值更显著(P<0.05)。结论综合性康复干预对房颤射频消融术后患者具有较好的效果,不仅可显著改善其焦虑、抑郁等负性情绪,改善其心理状态,而且可显著提高其生活质量,改善预后。Objective To investigate the effect of comprehensive rehabilitation intervention on negative emotions and quality of life in the patients with atrial fibrillation after receiving radiofi＇equency ablation. Methods 78 cases of parox- ysmal atrial fibrillation who were scheduled for radiofrequency ablation fi＇om January 2016 to December 2017 were se- lected. They were divided into intervention group and control group. Both groups were treated with radiofi＇equency ab- lation. The control group was given interventions such as psychological comfort, health education, dietary intervention, and electrocardiogram testing. The intervention group was further given comprehensive rehabilitation interventions on the basis of the control group. Both groups were given intervention for 12 weeks. The changes in negative emotions and quality of life were evaluated before and after intervention in both groups. Results After 12 weeks of intervention, the scores of SDS and SAS in both groups were lower than before（P〈0.05 or P〈0.01）, and the intervention group decreased more significantly（P〈0.05）; at the same time, the scores of somatic function, psychological emotion, social function, and material life were significantly higher than before（P〈0.05 or P〈0.01）, and the increase in the intervention group was more significant （P〈0.05）. Conclusion Comprehensive rehabilitation intervention has a favorable effect on the patients with atrial fibrillation after radiofrequency ablation. Not only can it significantly improve patients＇ negative emotions such as anxiety and depression, but also improve their psychological state, and it can also significantly improve their quality of life and improve their prognosis.

关 键 词：房颤 射频消融术 综合性康复干预 负性情绪 生活质量 

分 类 号：R541[医药卫生—心血管疾病]