小组心理康复干预在冠心病CABG术后患者早期康复中的应用效果  

Effect of group psychological rehabilitation intervention in early rehabilitation of patients with coronary heart disease after CABG

作　　者：冉龙飞 田国华 王楠 刘新新 Ran Longfei;Tian Guohua;Wang Nan;Liu Xinxin(Department of Rehabilitation Medicine,PKUCare CNOOC Hospital,Tianjin 300452,China)

机构地区：[1]天津北大医疗海洋石油医院康复医学科,天津300452

出　　处：《保健医学研究与实践》2023年第8期89-92,共4页Health Medicine Research and Practice

摘　　要：目的探讨小组心理康复干预在冠心病冠状动脉搭桥术(CABG)术后患者早期康复中的应用效果,以期为临床治疗提供参考。方法选取2021年5月—2022年4月天津北大医疗海洋石油医院心脏康复科收治的冠心病患者60例为研究对象。采用随机数字表法将患者分为对照组和研究组,各30例。对照组患者采用常规康复治疗;研究组患者在对照组基础上进行小组心理康复干预。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估2组患者干预前后(干预后为出院时)焦虑、抑郁状况。采用匹兹堡睡眠质量指数(PSQI)评估2组患者干预前后(干预后为出院时)睡眠质量状况。结果干预前,2组患者SAS和SDS评分比较,差异无统计学意义(P>0.05)。干预后,2组患者SAS和SDS评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。干预前,2组患者PSQI中睡眠质量、入睡时间、睡眠时间、睡眠障碍、睡眠效率、催眠药物、日间功能评分及总分比较,差异无统计学意义(P>0.05)。干预后,2组患者PSQI中睡眠质量、入睡时间、睡眠时间、睡眠障碍、睡眠效率、催眠药物、日间功能评分及总分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。结论小组心理康复干预在冠心病CABG术后患者早期康复中的应用效果显著,可改善患者焦虑、抑郁情绪,改善患者睡眠质量,值得推广应用。Objective This paper aims to investigate the effect of group psychological rehabilitation intervention in the early rehabilitation of patients with coronary heart disease after CABG surgery to provide evidence for clinical treatment.Methods From May 2021 to April 2022,60 patients with coronary heart disease were admitted to the Department of Cardiac Rehabilitation of PKUCare CNOOC Hospital.The patients were randomly assigned to the control group(n=30)and study group(n=30).Patients in the control group received conventional rehabilitation;patients in the study group,group psychological rehabilitation intervention based on the control group.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to evaluate the anxiety and depression of patients in the two groups before and after intervention(after intervention defined as at discharge).The Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality before and after intervention(at discharge defined as after intervention)in the two groups.Results Before intervention,no significant difference was observed in SAS and SDS scores between the two groups(P>0.05).After intervention,SAS and SDS scores in the 2 groups were significantly decreased,and the study group was significantly lower than the control group(P<0.05).Before intervention,there was no significant difference in subscale(sleep quality,sleep onset time,sleep duration,sleep disorder,sleep efficiency,hypnotic drugs,daytime function)and total scores in PSQI between the two groups(P>0.05).After intervention,the subscale and total scores in PSQI in the two groups were significantly decreased,and the study group was significantly lower than that in the control group(P<0.05).Conclusion Group psychological rehabilitation intervention is effective in improving anxiety and depression and raising sleep quality in the early rehabilitation of patients with coronary heart disease after CABG.These benefits hold promise for a wider application.

关 键 词：冠心病 CABG术 小组心理康复 情绪 睡眠质量 

分 类 号：R473.6[医药卫生—护理学]