冥想放松训练对心功能不全患者心理状态及心功能的影响  

Effects of meditation relaxation training on psychological status and cardiac function in patients with cardiac insufficiency

作　　者：张凯 李君 刘敏 李蕊[1] 赵欣欣 ZHANG Kai;LI Jun;LIU Min(Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]河南省南阳市中心医院,473000 [2]南阳市第二人民医院

出　　处：《中国健康心理学杂志》2020年第7期1029-1033,共5页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划项目(编号:201603071)。

摘　　要：目的:研究冥想放松训练对慢性心功能不全(CHF)患者心理状态及心功能的影响。方法:选取2016年4月至2019年4月我院CHF患者104例,经医院伦理委员会批准后采用随机数字表法均分为两组各52例,两组入院后均给予常规对症支持治疗和健康教育,冥想组在此基础上采用冥想放松训练进行干预,时间为3个月,比较两组干预效果。结果:干预后,两组汉密尔顿焦虑量表(HAMA)(t=15.964,13.473;P<0.05)和汉密尔顿抑郁量表(HAMD)(t=19.650,16.288;P<0.05)评分均明显降低,且冥想组HAMA(t=-2.116,P<0.05)和HAMD(t=-2.129,P<0.05)评分低于常规组;两组MoCA评分(t=-6.698,-2.495;P<0.05)明显升高,且冥想组MoCA评分(t=2.742,P<0.05)高于常规组;两组LVEF(t=-11.481,-6.698;P<0.05)和6MWT(t=-10.535,-6.277;P<0.05)均明显升高,且冥想组LVEF(t=3.466,P<0.05)和6MWT(t=2.733,P<0.05)高于常规组;两组CQQC量表体力(t=-13.306,-6.762;P<0.05)、病情(t=-12.734,-6.148;P<0.05)、医疗状况(t=-8.100,-4.360;P<0.05)、一般生活(t=-5.719,-4.739;P<0.05)、社会心理(t=-4.129,-3.696;P<0.05)、工作评分(t=-8.800,-7.147;P<0.05)及总分(t=-12.438,-8.989;P<0.05)明显升高,且冥想组体力(t=2.895,P<0.05)、病情(t=3.805,P<0.05)、工作评分(t=2.552,P<0.05)及总分(t=3.093,P<0.05)均高于常规组,差异均有统计学意义。结论:冥想放松训练用于CHF干预可有效改善患者心理状态和认知功能,从而有利于提升患者心功能和生活质量水平。Objective:To study the effects of meditation relaxation training on psychological status and cardiac function in patients with chronic heart failure(CHF).Methods:A total of 104 patients with CHF in our hospital from April 2016 to April 2019 were selected.After approval by the hospital ethics committee,they were divided into two groups according to the random number table method,with 52 cases in each group.The two groups were given routine symptomatic support treatment and health education after admission,and meditation group was given meditation relaxation training for intervention,and they were intervened for 3 months,and the intervention effects were compared between the two groups.Results:After intervention,the scores of HAMA(t=15.964,13.473;P<0.05)and HAMD(t=19.650,16.288;P<0.05)were significantly decreased in the two groups,and the scores of HAMA(t=-2.116,P<0.05)and HAMD(t=-2.129,P<0.05)in meditation group were lower than those in routine group.The MoCA scores(t=-6.698,-2.495;P<0.05)in the two groups were significantly increased,and the MoCA score(t=2.742,P<0.05)in meditation group was higher than that in routine group.The LVEF(t=-11.481,-6.698;P<0.05)and 6 MWT(t=-10.535,-6.277;P<0.05)were significantly elevated in both groups,and the LVEF(t=3.466,P<0.05)and 6 MWT(t=2.733,P<0.05)in meditation group were higher than those in routine group.The scores of physical strength(t=-13.306,-6.762;P<0.05),condition(t=-12.734,-6.148;P<0.05),medical status(t=-8.100,-4.360;P<0.05),general life(t=-5.719,-4.739;P<0.05),social psychology(t=-4.129,-3.696;P<0.05)and work(t=-8.800,-7.147;P<0.05)and total score(t=-12.438,-8.989;P<0.05)of CQQC scale were significantly increased in the two groups,and the scores of physical strength(t=2.895,P<0.05),condition(t=3.805,P<0.05)and work(t=2.552,P<0.05)and total score(t=3.093,P<0.05)in meditation group were higher than those in routine group.Conclusion:Meditation relaxation training for CHF intervention can effectively improve psychological status and cognitive function of patients,thus b

关 键 词：心功能不全 冥想放松训练 心功能 心理状态 认知功能 生活质量 

分 类 号：R749.92[医药卫生—神经病学与精神病学]