静默疗法对急性心肌梗死患者疾病进展恐惧和心理健康的影响  被引量:13

Effects of meditation therapy on fear of disease progress and mental health among acute myocardial infarction patients

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作  者:沈翌卉[1] 王慧虹[2] 邵芳[1] 张治萍[1] 刘敏[1] 周苔花[3] Shen Yihui;Wang Huihong;Shao Fang;Zhang Zhiping;Liu Min;Zhou Taihua(Emergency Department,the Affiliated Hospital of Jiangnan University,Wuxi 214000,China;Outpatient Department,the Affiliated Hospital of Jiangnan University,Wuxi 214000,China;Department of Cardiology,the Affiliated Hospital of Jiangnan University,Wuxi 214000,China)

机构地区:[1]江南大学附属医院急诊科 [2]江南大学附属医院门诊部 [3]江南大学附属医院心内科

出  处:《中国实用护理杂志》2021年第30期2340-2345,共6页Chinese Journal of Practical Nursing

摘  要:目的探讨静默疗法对急性心肌梗死(AMI)患者疾病进展恐惧和心理健康的影响。方法将江南大学附属医院120例接受手术治疗的AMI患者按照入组时间分为试验组和对照组,2018年6—11月收治的AMI患者60例作为对照组,2019年1—5月收治的AMI患者60例作为试验组。对照组患者给予常规护理,试验组在常规护理基础上实施为期4周的静默疗法。干预前和干预后,采用疾病进展恐惧简化量表(FoP-Q-SF)和90项症状自评量表(SCL-90)对2组患者疾病进展恐惧程度和心理健康进行评价。结果干预后,试验组FoP-Q-SF中生理健康、社会家庭功能维度得分和总分分别为(12.78±3.47)、(10.45±2.44)、(23.24±4.25)分,明显低于对照组的(14.33±2.72)、(11.59±2.82)、(25.91±3.89)分,差异有统计学意义(t值为2.623、2.277、3.499,P<0.05);试验组SCL-90中躯体化、强迫、焦虑、抑郁因子得分及总分分别为(1.26±0.19)、(1.42±0.23)、(1.19±0.28)、(1.20±0.16)、(121.81±9.59)分,明显低于对照组的(1.83±0.25)、(1.68±0.37)、(1.82±0.41)、(1.71±0.33)、(145.85±9.12)分,差异有统计学意义(t值为4.580~13.659,P<0.001)。结论静默疗法可有效降低AMI患者疾病进展恐惧程度,改善其心理健康程度。Objective To investigate the effects of meditation therapy on fear of disease progress and mental health among acute myocardial infarction(AMI)patients.Methods Totally,120 cases of acute myocardial infarction patients admitted to Affiliated Hospital of Jiangnan University were divided into experimental group and control group according to the enrolled time.60 patients with AMI treated from June to November 2018 served as the control group and 60 patients with AMI treated from January to May 2019 served as the experimental group.The patients in the control group received routine nursing,the experimental group carried out 4-week meditation therapy based on the routine nursing.Before and after intervention,the effect was assessed by Fear of Progression Questionnaire-Short Form(FoP-Q-SF)and Symptom Checklist-90(SCL-90),respectively.Results After intervention,the physical health and social family function dimension scores in FoP-Q-SF as well as total FoP-Q-SF scores were(12.78±3.47),(10.45±2.44),(23.24±4.25)points,significantly lower than in the control group(14.33±2.72),(11.59±2.82),(25.91±3.89)points,the difference was statistically significant(t values were 2.623,2.277,3.499,P<0.05);the scores of somatization,compulsion,anxiety,depression and total SCL-90 were(1.26±0.19),(1.42±0.23),(1.19±0.28),(1.20±0.16)and(121.81±9.59)points,significantly lower than(1.83±0.25),(1.68±0.37),(1.82±0.41),(1.71±0.33)and(145.85±9.12)points in the control group,the difference was statistically significant(t values were from 4.580 to 13.659,P<0.001).Conclusion Meditation therapy can effectively decrease disease progress and promote mental health in patients with acute myocardial infarction.

关 键 词:静默疗法 急性心肌梗死 疾病进展恐惧 心理健康 

分 类 号:R473.5[医药卫生—护理学]

 

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