摘要
目的:探究耳穴压豆联合认知行为干预对急性冠脉综合征患者焦虑抑郁及睡眠障碍的影响。方法:选取赣南医学院附属兴国医院急诊科2022年4月—2023年4月收治的急性冠脉综合征患者86例作为研究对象,按随机数字表法分为两组,各43例。对照组予以常规治疗联合耳穴压豆,观察组在对照组的基础上进行认知行为干预。观察两组的疗效、焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分。结果:观察组总有效率为95.35%,高于对照组的81.40%(P<0.05);与干预前相比,干预后两组SAS、SDS评分均降低,且观察组均低于对照组(P<0.05);干预后观察组PSQI评分低于对照组(P<0.05)。结论:耳穴压豆联合认知行为干预对急性冠脉综合征患者有显著疗效,可有效缓解焦虑抑郁情绪,改善睡眠质量。
Objective:To explore the effects of auricular point pressure beans combined with cognitive behavioral intervention on anxiety and depression and sleep disorder in patients with acute coronary syndrome.Method:A total of 86 patients with acute coronary syndrome admitted to Department of Emergency,Xingguo Hospital Affiliated to Gannan Medical College from April 2022 to April 2023 were selected as the study objects,and they were divided into two groups according to random number table method,with 43 cases in each group.The control group received conventional treatment combined with auricular point pressure beans,and the observation group received cognitive behavioral intervention on the basis of the control group.The efficacy,self-rating anxiety scale(SAS)scores,self-rating depression scale(SDS)scores and Pittsburgh sleep quality index(PSQI)scores of the two groups were observed.Result:The total effective rate of observation group was 95.35%,which was higher than 81.40%of control group(P<0.05).Compared with those before intervention,SAS and SDS scores of both groups were decreased after intervention,and those in the observation group were lower than those in the control group(P<0.05).After intervention,PSQI score of observation group was lower than that of control group(P<0.05).Conclusion:Auricular point pressure beans combined with cognitive behavioral intervention has a significant effect on patients with acute coronary syndrome,which can effectively relieve anxiety and depression and improve sleep quality.
作者
罗星
李建荣
王新生
黄宗法
蔡选琨
朱桂金
LUO Xing;LI Jianrong;WANG Xinsheng;HUANG Zongfa;CAI Xuankun;ZHU Guijin(Department of Emergency,Xingguo Hospital Affiliated to Gannan Medical College,Xingguo 342400,China;不详)
出处
《中国医学创新》
CAS
2024年第12期152-156,共5页
Medical Innovation of China
基金
江西省中医药科技计划一般项目(2023B0788)。
关键词
耳穴压豆
认知行为干预
急性冠脉综合征
焦虑
抑郁
睡眠障碍
Auricular point pressure beans
Cognitive behavioral intervention
Acute coronary syndrome
Anxiety
Depression
Sleep disorder
