正念冥想训练在左束支区域起搏心脏再同步化治疗心力衰竭患者中的应用  

Application of mindfulness meditation training in patients with heart failure treated by left bundle branch area pacing cardiac resynchronization therapy

作　　者：任月霞[1] 于漫[2] 赵永辉[1] 王静[2] 杨海鸿[3] 陈凌[1] 陈慧玲[4] Ren Yuexia;Yu Man;Zhao Yonghui;Wang Jing;Yang Haihong;Chen Ling;Chen Huiling(Second Ward of Arrhythmia,Heart Center of Henan Provincial People's Hospital,Central China Fuwai Hospital,Central China Fuwai Hospital of Zhengzhou University,Zhengzhou 450003,China;Nursing Department,Heart Center of Henan Provincial People's Hospital,Central China Fuwai Hospital,Central China Fuwai Hospital of Zhengzhou University,Zhengzhou 450003,China;Medical Records Room,Heart Center of Henan Provincial People's Hospital,Central China Fuwai Hospital,Central China Fuwai Hospital of Zhengzhou University,Zhengzhou 450003,China;Structural Heart Disease Ward,Heart Center of Henan Provincial People's Hospital,Central China Fuwai Hospital,Central China Fuwai Hospital of Zhengzhou University,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院心脏中心,华中阜外医院,郑州大学华中阜外医院心律失常二病区,郑州450003 [2]河南省人民医院心脏中心,华中阜外医院,郑州大学华中阜外医院护理部,郑州450003 [3]河南省人民医院心脏中心,华中阜外医院,郑州大学华中阜外医院病案室,郑州450003 [4]河南省人民医院心脏中心,华中阜外医院,郑州大学华中阜外医院结构性心脏病病区,郑州450003

出　　处：《中华现代护理杂志》2021年第5期673-676,共4页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20190767)。

摘　　要：目的探讨正念冥想训练在左束支区域起搏心脏再同步化治疗心力衰竭患者中的应用效果。方法采用便利抽样法,选取2019年3月—2020年3月河南省人民医院心脏中心收治的86例慢性心力衰竭患者为研究对象。采用随机数字表法将86例患者分为观察组和对照组,每组各43例。对照组患者予以常规护理和健康教育,观察组患者在此基础上予以正念冥想干预。采用SAS、SDS、匹兹堡睡眠质量指数(PSQI)比较干预的效果。结果两组患者干预后的SAS评分、SDS评分、PSQI评分均低于干预前,且观察组干预后的SAS评分、SDS评分、PSQI评分均低于对照组,差异均有统计学意义(P<0.05)。结论在左束支区域起搏心脏再同步化治疗的慢性心力衰竭患者中采取正念冥想干预,可有效减轻其负性情绪,改善睡眠质量。Objective To explore the application effect of mindfulness meditation training in patients with heart failure treated by left bundle branch area pacing cardiac resynchronization therapy.Methods Using the convenient sampling method,a total of 86 patients with heart failure who were admitted to the Heart Center of Henan Provincial People's Hospital from March 2019 and March 2020 were selected as the research objects.According to the random number table method,a total of 86 patients were divided into the observation group and the control group,with 43 cases in each group.Patients in the control group were given routine nursing and health education,while patients in the observation group were given mindfulness meditation intervention on this basis.Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Pittsburgh Sleep Quality Index(PSQI)were used to compare the intervention effects.Results After intervention,scores of SAS,SDS and PSQI of patients in the two groups were all lower than those before intervention,and scores of SAS,SDS and PSQI of patients in the observation group were all lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Mindfulness meditation intervention in patients with chronic heart failure treated by left bundle branch area pacing cardiac resynchronization therapy can effectively reduce their negative emotions and improve their sleep quality.

关 键 词：心力衰竭 左束支区域起搏 心脏再同步化治疗 正念冥想 焦虑 抑郁 

分 类 号：R473.5[医药卫生—护理学]