双心护理结合揿针对冠状动脉粥样硬化性心脏病患者心理痛苦的影响  

Effect of psycho-cardiologic nursing combined with Chinese press needle embedding on psychological distress in patients with coronary atherosclerotic heart disease

作　　者：侯春艳[1] 谭娟[1] 张文江[2] 杨泽 HOU Chunyan;TAN Juan;ZHANG Wenjiang;YANG Ze(Cardiovascular Diseases Center,Xiyuan Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing100091,China;Department of Lung Disease Division,Xiyuan Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing100091,China)

机构地区：[1]中国中医科学院西苑医院心血管病中心,北京100091 [2]中国中医科学院西苑医院肺病科,北京100091

出　　处：《中国医药导报》2020年第7期185-188,共4页China Medical Herald

基　　金：北京市科学技术委员会首都临床特色应用研究与成果推广项目(Z151100004015136);中国中医科学院西苑医院苗圃课题资助项目(2019XYMP-49)。

摘　　要：目的观察双心护理结合揿针对冠状动脉粥样硬化性心脏病患者心理痛苦的影响。方法选择2017年4月~2019年4月中国中医科学院西苑医院心血管三科住院的存在心理痛苦冠心病患者96例,根据随机数字表法将其分为观察组48例、对照组48例。观察组接受双心护理及揿针疗法,对照组予常规护理。观察两组心理痛苦温度计(DT)、焦虑自评量表(SAS)、抑郁自评量表(SDS)和中医症状评分变化。结果干预后两组DT、SAS、SDS评分均低于干预前(均P<0.05)。观察组DT、SAS、SDS评分低于对照组(P<0.05)。干预后观察组胸痛、胸闷、胸胁胀满、情绪不宁、急躁易怒,心悸评分均低于干预前(P<0.05)。对照组胸痛、胸闷、情绪不宁,心悸评分均低于干预前(P<0.05)。观察组胸闷,胸胁胀满,急躁易怒评分低于对照组(P<0.05)。结论双心护理结合揿针可以减轻冠状动脉粥样硬化性心脏病患者心理痛苦,改善患者临床症状。Objective To observe the effect of psycho-cardiologic nursing combined with stirrup on psychological distress of patients with coronary atherosclerotic heart disease.Methods From April 2017 to April 2019,a total of 96 patients with coronary heart disease with psychological pain were admitted to The Third Department of Cardiovascular Xiyuan Hospital,Chinese Academy of Traditional Chinese Medicine.According to the random number table method,the patients were divided into observation group 48 cases and control group 48 cases.The observation group received psycho-cardiologic nursing and pressneedle therapy,while the control group received routine nursing.The changes of distress thermometer(DT),anxiety self-rating scale(SAS),depression self-rating scale(SDS)and TCM symptom score were observed.Results After intervention,the scores of DT,SAS and SDS in both groups were lower than before intervention(all P<0.05).The scores of DT,SAS and SDS in the observation group were significantly lower than those in the control group(P<0.05).After intervention,the scores of chest pain,chest tightness,chest side fullness,restless mood,irritability and palpitations in the observation group were all lower than those before treatment(P<0.05).In the control group,chest pain,chest tightness,restless mood and palpitations were all lower than those before treatment(P<0.05).In the observation group,the scores of chest tightness,chest swelling and irritability were significantly lower than those in the control group(P<0.05).Conclusion Psycho-cardiologic nursing combined with acupuncture can reduce the psychological pain of patients with coronary atherosclerotic heart disease,improve the clinical symptoms of patients.

关 键 词：双心护理 揿针 心理痛苦 冠状动脉粥样硬化性心脏病 气滞血瘀 

分 类 号：R541.4[医药卫生—心血管疾病]