医疗步行联合积极体验干预对高龄冠心病伴抑郁患者生活质量的影响  

作　　者：何炼英[1] 张荀芳[1] 童露露 王亚勤[1] 洪乐凤[1] 

机构地区：[1]浙江省人民医院(杭州医学院附属人民医院),310024

出　　处：《浙江临床医学》2020年第1期44-46,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省医药卫生科技计划项目(2017KY220)。

摘　　要：目的探讨医疗步行联合积极体验干预对高龄冠心病伴抑郁患者生活质量的影响.方法将80例高龄冠心病伴抑郁患者随机分为对照组和观察组,每组各40例.对照组住院期间按常规药物治疗并参加日常活动;观察组在常规药物治疗基础上实施医疗步行联合积极体验干预疗法.在干预前、干预后12个月对两组患者抑郁程度分级、生活质量评分[西雅图心绞痛量表(SAQ)]进行比较.结果干预12个月后,观察组及对照组SDS评分分别为(43.19±10.88)分和(50.79±9.87)分,较干预前均下降,差异有统计学意义(P<0.05),观察组SDS评分明显低于对照组,差异有统计学意义(P<0.05);干预12个月后观察组患者生活质量(心绞痛稳定状态、心绞痛发作、躯体活动受限、疾病认识程度、治疗满意度)评分分别为(73.08±4.69)分、(76.88±22.21)分、(79.50±14.67)分、(69.58±8.01)分、(75.54±15.99)分,较干预前明显提高,差异有统计学意义(P<0.05),对照组患者生活质量各维度评分分别为(63.72±5.49)分、(62.50±20.41)分、(63.50±18.05)分、(58.16±8.35)分、(54.33±18.09)分,仅心绞痛稳定状态和心绞痛发作评分较干预前提高,差异有统计学意义(P<0.05),观察组生活质量较对照组显著改善,差异有统计学意义(P<0.05).结论医疗步行联合积极体验干预可缓解抑郁情绪,显著提高高龄冠心病伴抑郁患者的生活质量,值得在老年病房和养老机构推广.Objective To explore the effect of medical walking combined with positive experience intervention on the quality of life of elderly patients with coronary heart disease and depression.Methods 80 elderly patients with coronary heart disease and depression were randomly divided into control group and intervention group,40 cases in each group.The control group received conventional medication during hospitalization and participated in routine daily activities.The intervention group implemented medical walking combined with positive experience intervention therapy based on conventional drug therapy.The degree of depression and the quality of life score(SAQ of the Seattle Angina Scale)were compared between the two groups before and 12 months after the intervention.Results After 12 months of intervention,the SDS scores of the intervention group and the control group were(43.19±10.88)and(50.79±9.87),respectively,which were significantly lower than those before the intervention(P<0.05).The SDS score was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).The quality of life of the intervention group after 12 months of intervention(stability of angina pectoris,angina pectoris,limited physical activity,disease awareness,treatment satisfaction)The scores were(73.08±4.69),(76.88±22.21),(79.50±14.67),(69.58±8.01),and(75.54±15.99),which were significantly higher than before intervention.The difference was statistically significant.The significance(P<0.05),the scores of life quality of the control group were(63.72±5.49),(62.50±20.41),(63.50±18.05),(58.16±8.35),(54.33±18.09)points,only angina pectoris stable state and angina pectoris scores were higher than before intervention,the difference was statistically significant(P<0.05),the quality of life of the intervention group was significantly improved compared with the control group,the difference was statistically significant(P<0.05).Conclusion Medical walking combined with positive experience intervention can a

关 键 词：医疗步行 积极体验 冠心病 抑郁 生活质量 

分 类 号：R47[医药卫生—护理学]