摘要
目的:观察在现代医学综合康复治疗与护理的基础上加用耳穴压豆联合情志护理的中医护理措施改善冠状动脉粥样硬化性心脏病(以下简称冠心病)患者不良情绪的效果。方法:将120例有焦虑或抑郁的气滞血瘀型冠心病患者随机分为观察组和对照组各60例。2组均进行合理的运动、膳食、戒烟、心理调整和药物治疗,并给予康复护理措施。观察组加予耳穴压豆和情志护理。2组疗程均为4周。治疗前后采用西雅图心绞痛量表(SAQ)评价生活质量及机体功能状态,应用焦虑自评量表(SAS)及抑郁自评量表(SDS)量表评价焦虑、抑郁程度。记录治疗前后每周心绞痛发作次数、持续时间、疼痛程度。结果:治疗后,2组SAQ的AS、AF、PL、DP及TS评分均较治疗前升高(P<0.01),观察组5项因子评分均高于对照组(P<0.01)。2组SAS评分及SDS评分均较治疗前下降(P<0.01),观察组SAS评分及SDS评分均低于对照组(P<0.01)。2组每周心绞痛发作次数均较治疗前减少,持续时间较治疗前缩短,疼痛程度较治疗前减轻(P<0.01)。观察组心绞痛发作次数少于对照组,持续时间短于对照组,疼痛程度轻于对照组(P<0.01)。结论:在现代医学综合康复治疗与护理的基础上加用耳穴压豆联合情志护理的中医护理措施可进一步减轻患者的焦虑、抑郁等不良情绪,改善心绞痛发作情况,提高生活质量和机体功能状态。
Objective:To observe the effect of auricular point pressing with beans combined with emotional nursing in Chinese medicine nursing measures based on the comprehensive rehabilitation treatment and nursing in modern medicine,on the improvement of bad mood of patients with coronary atherosclerotic heart disease(coronary heart disease for short).Methods:A total of 120 cases of patients with coronary heart disease of qi stagnation and blood stasis type,with anxiety or depression,were randomly divided into the observation group and the control group,60 cases in each group.Both groups were given proper exercise and diet,smoking cessation,psychological adjustment,medicine treatment and rehabilitation nursing,and the observation group was additionally treated with auricular point pressing with beans and emotional nursing.Both groups were treated for four weeks.Before and after treatment,the quality of life and body function were evaluated by Seattle Angina Questionnaire(SAQ),and the degree of anxiety and depression was evaluated by Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS).Before and after treatment,the frequency,duration and the degree of pain of angina attack per week were recorded.Results:After treatment,the scores of AS,AF,PL,DP and TS in SAQ in the two groups were increased when compared with those before treatment(P<0.01),and the above five scores in the observation group were all higher than those in the control group(P<0.01).The scores of SAS and SDS in the two groups were decreased when compared with those before treatment(P<0.01),and the two scores in the observation group were lower than those in the control group(P<0.01).When compared with those before treatment,in the two groups,the frequency and the degree of pain of angina attack per week were decreased,and the duration was shortened(P<0.01).When compared with those in the control group,in the observation group,the frequency and the degree of pain of angina attack were less,and the duration was shorter(P<0.01).Conclusion:The additi
作者
徐留仙
俞佳
XU Liuxian;YU Jia
出处
《新中医》
CAS
2020年第13期175-178,共4页
New Chinese Medicine
关键词
冠状动脉粥样硬化性心脏病
气滞血瘀证
焦虑
抑郁
情志护理
耳穴压豆
西雅图心绞痛量表
Coronary atherosclerotic heart disease
Qi stagnation and blood stasis syndrome
Anxiety
Depression
Emotional nursing
Auricular point pressing with beans
Seattle Angina Questionnaire
