摘要
目的通过临床研究观察太极运动对冠心病患者心理障碍影响的疗效。方法纳入河北医科大学第一医院90例冠心病患者分为太极运动组和对照组,每组45例。两组均给予冠心病的基础药物干预,并在此基础上给予康复干预患者的心理障碍。对照组指导一般日常活动进行康复干预,如步行、慢跑等活动。太极运动组以太极拳运动为主康复干预,隔日一次,每次简式太极拳1～2遍,疗程3个月。以汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及生活质量调查表(short form 36questionnaire,SF-36)观察康复干预结果,并对比两组患者的心理障碍康复干预效果。结果两组患者干预前HAMA、HAMD评分比较,差异均无统计学意义(均P>0.05)。太极运动组患者干预后HAMA评分[(11.80±1.61)分比(22.10±2.41)分,P <0.001],HAMD评分[(11.20±1.92)分比(18.51±1.81)分,P <0.001]均显著低于干预前。对照组患者干预后HAMA评分[(12.80±2.51)分比(21.20±2.59)分,P <0.001]、HAMD评分[(13.40±1.67)分比(19.20±1.48)分,P <0.001]均显著低于干预前,差异均有统计学意义。太极运动组干预后HAMA评分[(11.80±1.61)分比(12.80±2.51)分,P=0.037],HAMD评分[(11.20±1.92)分比(13.40±1.67)分,P <0.001]优于对照组,差异均有统计学意义。太极运动组与对照组患者生活质量SF-36评分干预前[(67.41±7.93)分比(67.82±7.71)分,P=0.804]评分,差异无统计学意义。太极运动组干预后SF-36评分[(80.29±8.65)分比(67.41±7.93)分,P <0.001],对照组[(74.36±7.93)分比(67.82±7.71)分,P <0.001]显著优于干预前,差异均有统计学意义。太极运动组干预后SF-36评分[(80.29±8.65)分比(74.36±7.93)分,P <0.001]明显优于对照组,差异有统计学意义。结论太极运动康复干预冠心病患者,同时能有效缓解患者心理障碍状态,更利于患者的功能康复,提高生活质量。
Objective To observe the effect of Taiji exercise on the psychological disorder of patients with coronary heart disease through clinical research.Methods Ninety patients with coronary heart disease were enrolled in the First Hospital of Hebei Medical University.They were divided into Taiji exercise group and control group,with45 cases in each group.Both groups were given basic drug intervention for coronary heart disease,and on this basis,psychological barriers were given to patients with rehabilitation intervention.The control group guided general daily activities for rehabilitation interventions such as walking and jogging.The Taiji exercise group relied on Taijiquan exercise as the main rehabilitation intervention.Once every other day,each time the simplified Taijiquan was performed 1 to 2 times,the course of treatment was 3 months.The results of rehabilitation intervention were observed with Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and Short Form 36 questionnaire(SF-36),and the effects of psychological intervention rehabilitation interventions were compared between the two groups.Results There was no significant difference in the HAMA and HAMD scores between the two groups before intervention(all P >0.05).The Hama score after intervention in the Taiji exercise group[(11.80±1.61)points vs(22.10±2.41)points,P <0.001],HAMD scores[(11.20±1.92)points vs(18.51±1.81)points,P <0.001]Significantly lower than before the intervention.In the control group,the HAMA scores after intervention[(12.80±2.51)vs(21.20±2.59),P <0.001],HAMD score[(13.40±1.67)vs(19.20±1.48),P <0.001]were significant.The difference was statistically significant before the intervention.The Hama score after intervention in the Taiji exercise group[(11.80±1.61)points vs(12.80±2.51)points,P =0.037],the HAMD score[(11.20±1.92)points vs(13.40±1.67)points,P <0.001]was better than In the control group,the differences were statistically significant.The quality of life SF-36 scores in the Taiji exercise group and the control gro
出处
《中国误诊学杂志》
CAS
2018年第7期300-303,共4页
Chinese Journal of Misdiagnostics
关键词
太极运动
冠心病
焦虑
抑郁
生活质量
Taiji exercise
coronary heart disease
anxiety
depression
quality of life
