认知干预联合康复训练在冠心病慢性心力衰竭患者中的应用效果  

Application effects of cognitive intervention combined with rehabilitation training in patients with coronary heart disease and chronic heart failure

作　　者：王晓英[1] WANG Xiaoying(The 7th People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州市第七人民医院,河南郑州450000

出　　处：《中国民康医学》2022年第17期151-154,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察认知干预联合康复训练在冠状动脉粥样硬化性心脏病(冠心病)慢性心力衰竭患者中的应用效果。方法:选取2016年3月至2020年7月该院收治的120例冠心病慢性心力衰竭患者进行前瞻性研究,按照随机数字表法分为对照组和观察组各60例。对照组采用康复训练,观察组在对照组基础上给予认知干预,比较两组干预前后心功能指标[左心室射血分数(LVEF)、左心室舒张期内径(LVEDD)]水平、6min步行距离、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分和健康行为[健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)]评分。结果:干预后,观察组LVEF水平高于对照组,6 min步行距离大于对照组,LVEDD水平小于对照组,差异有统计学意义(P<0.05);干预后,两组SAS、SDS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,两组健康责任、人际关系、运动、营养、压力管理和自我实现等HPLP-Ⅱ评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:认知干预联合康复训练能可提高冠心病慢性心力衰竭患者健康行为评分,改善心功能指标水平,降低负性情绪评分,效果优于单纯康复训练。Objective:To observe application effects of cognitive intervention combined with rehabilitation training in patients with coronary heart disease and chronic heart failure.Methods:120 patients with chronic heart failure and coronary heart disease who were admitted to this hospital from March 2016 to July 2020 were selected for the prospective study,and were divided into control group and observation group according to the random number table method,60 cases in each group.The control group was given rehabilitation training,while the observation group was given cognitive intervention on the basis of that of the control group.The levels of cardiac function indicators[left ventricular ejection fraction(LVEF),left ventricular diastolic diameter(LVEDD)],the 6-min walking distance,the negative emotion score[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],and the health behavior score[health promotion lifestyle profile-II(HPLP-II)]were compared between the two groups before and after the intervention.Results:After the intervention,the levels of LVEF and the 6-min walking distance in the observation group were higher than those in the control group;the level of LVEDD was lower than that in the control group;and the differences were statistically significant(P<0.05).After the intervention,the SAS and SDS scores of the two groups were lower than those before the intervention,those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,after the intervention,the HPLP-II scores of health responsibility,interpersonal relationship,exercise,nutrition,stress management and self-actualization in the two groups were all higher than those before the intervention,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions:Cognitive intervention combined with rehabilitation training can improve the health behavior score,improve the cardiac function ind

关 键 词：康复训练 认知干预 冠心病 慢性心力衰竭 心脏功能 负性情绪 健康行为 

分 类 号：R541[医药卫生—心血管疾病]