中医情志干预结合个性化健康教育对冠心病伴焦虑患者介入术后的影响

目的 探讨中医情志干预结合个性化健康教育对冠心病伴焦虑患者介入术后并发症及生活质量的影响。方法 将2018年7月—2019年12月在本院接受冠心病介入手术治疗并伴有焦虑的患者共80例作为研究对象,随机分为对照组和观察组,每组各40例。对照组患者采用常规干预,观察组在常规干预的基础上采用中医情志干预联合个性化健康教育。比较两组患者护理后并发症发生情况;观察两组患者护理前后心绞痛发作频率、心绞痛稳定程度、躯体活动受限程度及患者对治疗的满意度、疾病主观感受等;采用汉密顿焦虑量表对患者的焦虑状况程度进行考察。结果 观察组护理后并发症发生率为7.50%,显著低于对照组的27.50%,2组差异具有统计学意义(χ2=5.541,P=0.019);护理前2组患者生活质量评价评分比较,差异无统计学意义(P>0.05);护理后2组患者心绞痛发作频率、心绞痛稳定程度、躯体活动受限程度、治疗满意度、疾病主观感受等方面评分均上升(P<0.05),同时观察组各项评分分别比对照组高,差异具有统计学意义(P<0.001);护理后观察组患者HAMA评分为(16.8±6.1)分,低于护理前的(26.1±6.5)分,差异具有统计学意义(P<0.05),且护理后观察组HAMA评分低于对照组的(23.7±5.1)分,差异具有统计学意义(t=13.815,P=0.005)。结论 冠心病伴随焦虑患者采用中医情志护理联合个性化健康教育进行干预,可以帮助患者保持良好心态,对患者的疾病状况具有缓解作用,且对治疗效果具有提升作用,患者生活质量提高,临床值得推广。

Influence of emotional intervention of traditional Chinese medicine combined with individualized health education on patients with coronary heart disease and anxiety after interventional therapy

Objective To explore the influence of emotional intervention of traditional Chinese medicine (TCM) combined with individualized health education on complications and quality of life of patients with coronary heart disease and anxiety after percutaneous coronary intervention. Methods A total of 80 patients with anxiety who underwent interventional surgery for coronary heart disease in our hospital from July 2018 to December 2019 were randomly divided into a control group and an observation group, with 40 cases in each group. The patients in the control group were treated with routine intervention, and the patients in the observation group were treated with TCM emotional intervention combined with individualized health education on the basis of routine intervention. The complications after nursing were compared between the two groups. The frequency of angina pectoris attack, the degree of stability of angina pectoris, the degree of physical activity restriction, the satisfaction of patients with treatment, and the subjective feeling of disease were observed before and after nursing in the two groups. Hamilton Anxiety Scale was used to investigate the degree of anxiety of patients. Results The incidence of complications after nursing in the observation group was 7.50%, significantly lower than 27.50% in the control group. The difference between the two groups was statistically significant (χ2=5.541, P=0.019). Before nursing, there was no significant difference between the two groups (P>0.05); after nursing, the scores of angina pectoris attack frequency, angina pectoris stability, physical activity limitation, treatment satisfaction, subjective feeling of disease, and oth-er aspects of the two groups increased (P<0.05). At the same time, the scores of the observation group were higher than those of the control group, and the difference was statistically significant (P<0.001). The average HAMA score of patients in the observation group after nursing was (16.8±6.1), lower than that before nursing: (26.1±6.5), and the difference was statistically significant (P<0.05); after nursing, the average HAMA score of the observation group was also lower than that of the control group (23.7±5.1), and the difference was statistically significant (t=13.815, P=0.005). Conclusions The intervention of TCM emotional nursing combined with individualized health education in patients with coronary heart disease and anxiety can help the patients maintain a good state of mind, alleviate the disease status of patients, and improve the treatment effect. The quality of life of patients is improved, which is worthy of clinical promotion.