正念减压对射血分数中间值心力衰竭患者生活质量及焦虑抑郁的影响研究  

Effect of mindfulness decompression on quality of life and anxiety and depression in patients with heart failure with median ejection fraction

作　　者：崔巍巍 陈远远 邝雨洁 孟鑫 靳艳 杨铭霞[2] 马光[2] Cui Weiwei;Chen Yuanyuan;Kuang Yujie;Meng Xin;Jin Yan;Yang Mingxia;Ma Guang(College of Nursing and Health of Henan University,Kaifeng,Henan 475000;The First Affiliated Hospital of Henan University,Kaifeng,Henan 475000)

机构地区：[1]河南大学护理与健康学院,河南开封475000 [2]河南大学第一附属医院,河南开封475000

出　　处：《护士进修杂志》2020年第3期214-217,共4页Journal of Nurses Training

基　　金：2018年度河南省医学科技攻关计划联合共建项目(编号:2018020315)

摘　　要：目的探讨正念减压疗法对射血分数中间值心力衰竭患者生活质量及心理状态的应用价值。方法选取2018年7月-2019年2月在我院心内科住院的射血分数中间值心衰并伴有焦虑抑郁的患者80例,按入院顺序进行分组,每组40例;两组患者均给予常规心理干预,观察组在此基础上实施正念减压,比较两组患者干预后生活质量及焦虑、抑郁水平。结果观察组患者生活质量水平为(44.18±2.960)分,明显优于对照组(55.48±2.063)分(P<0.001);观察组患者焦虑水平为(45.65±3.512)分,明显低于对照组(71.65±2.675)分(P<0.001);观察组患者抑郁水平为(54.75±2.169)分,明显低于对照组(62.68±1.526)分(P<0.001)。结论正念减压疗法可降低射血分数中间值心衰患者的焦虑抑郁水平,提高其生活质量。Objective To study the application value of mindfulness decompression therapy on quality of life and mental state of heart failure patients with median ejection fraction. Methods From July 2018 to February 2019, 80 patients with heart failure accompanied by anxiety and depression with intermediate value of ejection fraction in the department of cardiology of our hospital were divided into four groups according to the order of admission, 40 in each group;both groups were given routine psychological intervention, on the basis of which the observation group implemented mindfulness decompression, compared with the quality of life, anxiety and depression after the intervention of the two groups. Results The quality of life in the observation group was(44.18±2.960), which is significantly higher than that in the control group(55.48±2.063)(P<0.001);The anxiety level in the observation group was(45.65±3.512), which is significantly lower than that in the control group(71.65±2.675)(P<0.001);The depression level in the observation group was(54.75±2.169), it’s significantly lower than that in the control group(62.68±1.526)(P<0.001).Conclusion Mindfulness decompression can reduce the level of anxiety and depression of heart failure patients with median ejection fraction and improve their quality of life.

关 键 词：正念减压 射血分数中间值 抑郁 焦虑 生活质量 心力衰竭 护理 

分 类 号：R471[医药卫生—护理学] R473.54[医药卫生—临床医学]