临床综合康复策略对中青年冠心病患者焦虑、抑郁情绪及生活质量的影响

目的 观察康复护理策略对中青年冠心病患者焦虑、抑郁情绪及生活质量的影响，以期为该病患者的康复护理提供参考依据。方法 将84例中青年冠心病患者随机分为对照组（n=42）和观察组（n=42）。对照组给予常规护理，而观察组在常规护理的基础上再给予健康教育指导、康复运动疗法、音乐疗法及心理护理。采用汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）观察两组患者治疗前后焦虑、抑郁情绪状况，采用西雅图心绞痛调查量表（SAQ）评估患者治疗前后的生活质量。结果 与对照组相比较，观察组患者在给予康复护理策略后的HAMA和HAMD评分降低更为明显，而SAQ评分明显升高（P＜0.05）。结论 在冠心病的治疗过程中应用康复护理策略可显著改善中青年冠心病患者的焦虑、抑郁情绪，并明显提高患者的生活质量，是值得推广的一种有效护理实践方式。

Efficacy of rehabilitation nursing strategies on anxiety, depression and quality of life of young and middle-aged patients with coronary heart disease

Objective To provide reference basis for the disease in patients with coronary heart disease, we observed the efficacy of rehabilitation nursing strategies on anxiety, depression and quality of life of young and middle-aged patients with coronary heart disease (CHD). Methods Sixty-four cases of young and middle-aged patients with coronary heart disease were randomly divided into control group (n=42) and observation group (n=42). The control group was given conventional nursing care and observation group was given health education guidance, rehabilitation motion therapy, music therapy and psychological care on the basis of conventional nursing. Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD) were used to observe anxiety and depression state of all patients, and the Seattle angina questionnaire was used to evaluate the quality of life of patients before and after treatment. Results Compared with control group, HAMA and HAMD scores decreased obviously, and SAQ score increased significantly when given rehabilitation nursing strategy in the observation group (P< 0.05).Conclusions Application of rehabilitation nursing strategy in the process of treatment of coronary heart disease can significantly improve anxiety and depression state and quality of life of patients, which is an effective way of nursing practice.