摘要
目的探讨运动康复联合正念减压疗法对慢性心力衰竭患者生活质量的影响.方法采用方便抽样法抽取慢性心力衰竭患者75例,按入院的前后顺序分为对照组、运动组、联合组,每组25例.对照组采用常规药物治疗,运动组在对照组治疗基础上采用运动康复治疗,联合组在运动组的基础上联合正念减压疗法治疗.观察比较3组患者焦虑(SAS)与抑郁自评量表(SDS)、左室射血分数(LVEF)、脑尿钠肽(BNP)水平、6 min步行距离(6-MWT)、明尼苏达心衰生活质量评分(MLHFQ).结果治疗12周后,运动组与联合组SAS、SDS、LVEF、BNP、6-MWT及MLHFQ评分均优于对照组,3组差异具有统计学意义(P<0.05),且联合组各指标显著优于运动组(P<0.05).结论运动康复联合正念减压疗法能够有效改善慢性心力衰竭患者的生活质量.
Objective To observe the effect of exercise rehabilitation combined with mindfulness-based stress reduction on the life quality of patients with chronic heart failure.Method 75 patients with chronic heart failure were selected by convenient sampling,and were divided into control group,exercise group and combination group according to the order before and after admission,25 cases in each group.The patients in the control group were treated with conventional medicine,the ones in the exercise group was guided by professional therapist to exercise rehabilitation,the ones in the combination group was given mindfulness-based stress reduction based on the exercise group. The changes of scores of self-rating anxiety scale(SAS),scores of self-rating depression scale(SDS),6-min walking distance(6-MWT),left ventricular ejection fraction(LVEF),level of brain natriuretic peptide(BNP) and scores of minnesota living with hearth failure questionnaire(MLHFQ) were observed before and after 12 weeks of treatment in the three groups.Results The scores of SAS,SDS,LVEF,BNP,6-MWT and MLHFQ in exercise group and combination group were better than those in control group(P < 0. 05),and the improvement of each index in the combination group was significantly better than that in the exercise group(P<0.0 5). Conclusion Effect of exercise rehabilitation combined with mindfulness-based stress reduction can effectively improve the life quality of patients with chronic heart failure.
作者
房春晓
宋长平
崔逍
孟令营
李木子
FANG Chunxiao;SONG Changping;CUI Xiao;MENG Lingying;LI Muzi(Nursing College of Beihua University,Jilin 132013,China)
出处
《北华大学学报（自然科学版）》
CAS
2020年第2期230-233,共4页
Journal of Beihua University（Natural Science）
基金
吉林省教育厅社会科学研究项目(JJKH20180386SK).
关键词
慢性心力衰竭
运动康复
正念减压疗法
生活质量
chronic heart failure
exercise rehabilitation
mindfulness-based stress reduction
quality of life
