个案管理联合正念减压疗法对心力衰竭易损期患者的应用效果研究  

Application effect of case management combined with mindfulness based stress reduction therapy in patients with vulnerable heart failure

作　　者：刘贤秀 顾玉琴[1] 贺倩 陈晓瑜[1] 林纯 LIU Xianxiu;GU Yuqin;HE Qian;CHEN Xiaoyu;LIN Chun(Department of Cardiology,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou,Guangdong 510000,China)

机构地区：[1]广州医科大学附属第二医院心内科,广东广州510000

出　　处：《现代医药卫生》2023年第9期1474-1477,共4页Journal of Modern Medicine & Health

基　　金：广州医科大学附属第二医院护理科研基金项目(A202016)。

摘　　要：目的探讨个案管理(CM)联合正念减压(MBSR)疗法对心力衰竭易损期患者的应用效果。方法采用便利抽样法招募心力衰竭易损期患者90例,以随机数字表法分为对照组、个案组和联合组,每组30例。对照组患者采用常规心力衰竭护理,个案组患者采用心力衰竭CM,联合组患者采用心力衰竭CM联合MBSR疗法。比较3组患者出院3个月后焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我感受负担量表(SPBS)评分,以及明尼苏达心力衰竭生活质量量表(MLHFQ)评分及再入院率。结果干预3个月后,联合组SAS、SDS、SPBS、MLHFQ评分及再住院率均低于对照组及个案组,差异均有统计学意义(P<0.05)。结论CM联合MBSR疗法能降低心力衰竭易损期患者再入院率,并改善其心理状态及生活质量。Objective To explore the application effect of case management(CM)combined with mindfulness based stress reduction(MBSR)therapy in patients with vulnerable heart failure.Methods A total of 90 patients with vulnerable heart failure were recruited using convenience sampling method,and randomly divided into the control group,the case group,and the combination group using a random number table method,with 30 patients in each group.The control group received routine heart failure care,the case group received heart failure CM,and the combination group received heart failure CM combined with MBSR therapy.The scores of the self-rating anxiety scale(SAS),self-rating depression scale(SDS),self-perceived burden scale(SPBS),as well as the Minnesota heart failure quality of life score(MLHFQ)and readmission rate among the three groups of patients three months after discharge were compared.Results After three months of intervention,the SAS,SDS,SPBS and MLHFQ scores,and readmission rate of the combination group were lower than those of the control group and the case group,with statistically significant differences(P<0.05).Conclusion The CM combined with MBSR can reduce the readmission rate,improve their psychological status and quality of life in patients with vulnerable heart failure.

关 键 词：心力衰竭 易损期 个案管理 正念减压 生活质量 

分 类 号：R541[医药卫生—心血管疾病]