中医护理干预对气虚血瘀型冠心病心绞痛患者生活质量、心功能及负性情绪的影响
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R248.1;R541.4

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Effect of Intervention of Chinese Medicine Nursing on Quality of Life,Heart Function and Negative Emotions in Patients with Angina Pectoris in Coronary Heart Disease of Qi Deficiency with Blood Stasis Type
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    摘要:

    目的:观察中医护理干预对气虚血瘀型冠心病心绞痛患者生活质量、心功能及负性情绪的影响。方法:将110 例气虚血瘀型冠心病心绞痛患者按随机数字表法分为对照组和观察组各55 例。对照组给予优质护理,观察组在对照组基础上给予中医护理。比较2 组临床疗效、临床指标、中医症状积分、生活质量、心功能、负性情绪和依从性的变化。结果:观察组总有效率为92.73%,高于对照组76.36%,差异有统计学意义(P<0.05)。观察组心绞痛发作次数、疼痛评分和疼痛持续时间均显著低于对照组,差异均有统计学意义(P<0.05)。护理后,2 组胸痛、胸闷、心悸气短、倦怠乏力评分较护理前降低,且观察组各项评分均低于对照组,差异均有统计学意义(P<0.05)。护理后,2 组精力、生理、社会、情感、精神评分均较护理前提高,且观察组各项评分均高于对照组,差异均有统计学意义(P<0.05)。护理后,2 组左室收缩末径、左室舒张末径和左房内径较治疗前降低,且观察组各项指标均低于对照组,差异均有统计学意义(P<0.05)。护理后,2 组焦虑自评量表(SAS)、汉密尔顿抑郁量表(HAMD) 评分较护理前降低,且观察组SAS、HAMD 评分均低于对照组,差异均有统计学意义(P<0.05)。结论:中医护理干预对气虚血瘀型冠心病心绞痛患者具有较好的临床效果,可降低中医症状积分,提高生活质量,改善心功能和负性情绪。

    Abstract:

    Abstract:Objective:To observe the effect of intervention of Chinese medicine nursing on quality of life,heart function and negative emotions in patients with angina pectoris in coronary heart disease of qi deficiency with blood stasis type. Methods:A total of 110 cases of patients with angina pectoris in coronary heart disease of qi deficiency with blood stasis type were divided into the control group and the observation group according to the random number table method,55 cases in each group. The control group was given high-quality nursing,and the observation group was additionally given intervention of Chinese medicine nursing based on the nursing of the control group. The clinical effect,clinical indexes,Chinese medicine syndrome scores, quality of life, heart function, negative emotions and compliance in the two groups were compared. Results:The total effective rate was 92.73% in the observation group,higher than that of 76.36% in the control group,the difference being significant(P<0.05). The frequency of angina pectoris attacks,the pain score and the duration of pain in the observation group were significantly lower and shorter than those in the control group,differences being significant(P<0.05). After nursing, the scores of chest pain, chest distress, palpitation and short breath as well as hypodynamia in the two groups were decreased when compared with those before nursing,and the scores in the observation group were lower than those in the control group,differences being significant(P<0.05). After nursing,the scores of energy,physiology,society, emotions and mental state in the two groups were increased when compared with those before nursing,and the scores in the observation group were higher than those in the control group,differences being significant(P<0.05). After nursing,the left ventricular end systolic diameter,the left ventricular end diastolic diameter and the left atrial diameter in the two groups were decreased when compared with those before nursing,and the indexes in the observation group were lower than those in the control group,differences being significant(P<0.05). After nursing,the scores of Self-rating Anxiety Scale(SAS) and Hamilton Depression Scale(HAMD) in the two groups were decreased when compared with those before nursing,and the scores in the observation group were lower than those in the control group, differences being significant(P<0.05). Conclusion:The intervention of Chinese medicine nursing has good clinical effect in treating patients with angina pectoris in coronary heart disease of qi deficiency with blood stasis type, which can reduce Chinese medicine symptom scores and improve their quality of life,heart function and negative emotions.

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金腾,石留皓,祝雪花.中医护理干预对气虚血瘀型冠心病心绞痛患者生活质量、心功能及负性情绪的影响[J].新中医,2020,52(14):139-143

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  • 在线发布日期: 2020-07-20
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