摘要
目的:探讨基于音乐干预联合正念疗法对经皮冠状动脉介入(PCI)治疗冠心病患者的影响。方法:选取2019年1月1日~2020年12月31日在某三甲医院接受PCI治疗的冠心病患者92例,随机分为对照组和观察组各46例;对照组给予常规护理,观察组在常规护理的基础上给予基于音乐干预联合正念疗法的心理干预。比较两组围术期焦虑、抑郁程度[采用汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)],术后第7天尼可地尔服用依从性[采用药物治疗依从性评估量表(MMAS-8)],术后第7天生活质量[采用简明健康状况调查问卷(SF-36)]和术后6个月心血管事件发生率。结果:观察组术后第1、7天HAMA、HAMD评分均低于对照组(P<0.05);观察组术后第7天MMAS-8评分高于对照组(P<0.05);观察组术后第7天SF-36评分高于对照组(P<0.05)。结论:基于音乐干预联合正念疗法对PCI治疗冠心病患者有积极影响,能缓解患者围术期焦虑、抑郁情绪,提高患者对尼可地尔服用依从性和生活质量。
Objective:To explore the effect of music intervention combined with mindfulness therapy in patients with coronary heart disease(CHD)undergoing percutaneous coronary intervention(PCI).Methods:A total of 92 patients with CHD undergoing PCI from January 1,2019 to December 31,2020 were selected and randomly divided into control group(n=46)and the observation group(n=46).The control group was given routine nursing,and the observation group was given psychological intervention based on music intervention combined with mindfulness therapy on the above basis.The perioperative anxiety and depression degrees by hamilton anxiety scale(HAMA)and hamilton depression scale(HAMD),the medication compliance by morisky medication adherence scale-8(MMAS-8),Quality of life by 36-item short form health survey(SF-36)on the 7th day after operation,and the incidence of vascular diseases 6 months after operation were compared between the two groups.Results:The HAMA and HAMD scores in the observation group on the 1st d and 7th d were significantly lower than those in the control group(P<0.05),the MMAS-8 scores were significantly higher than those in the control group(P<0.05),the SF-36 scores were significantly higher than those in the control group(P<0.05).Conclusion:Music intervention combined with mindfulness therapy has a positive impact on patients with coronary heart disease treated with PCI.It can relieve their perioperative anxiety and depression,and improve their compliance with nicorandil and their quality of life.
作者
王静
李克亚
户相访
赵康
Wang Jing;Li Keya;Hu Xiangfang(Fuwai Central China Cardiovascular Hospital,Zhengzhou Henan 450000,China)
出处
《齐鲁护理杂志》
2024年第2期16-18,共3页
Journal of Qilu Nursing
基金
河南省医学科技攻关计划联合共建项目(编号:LHGJ20200095)。
关键词
冠心病
PCI治疗
音乐干预
正念疗法
尼可地尔
Coronary heart disease
PCI therapy
Music intervention
Mindfulness therapy
Nicorandil
