慢性心力衰竭患者应用放松式呼吸训练的效果
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摘要
目的探讨放松式呼吸训练对慢性心力衰竭患者焦虑、抑郁情绪和睡眠质量的改善作用。方法选取本院160例慢性心力衰竭患者纳入研究,随机分为对照组和观察组各80例,对照组予常规护理、出院随访;观察组在住院期间、出院后的常规护理基础上行放松式呼吸训练,比较6个月后2组患者的焦虑、抑郁情绪状况及睡眠质量。结果观察组的焦虑、抑郁情绪发生率显著低于对照组,观察组的睡眠质量显著高于对照组(P <0. 05)。结论放松式呼吸训练对慢性心力衰竭患者焦虑、抑郁情绪、睡眠质量的改善有良好促进作用。
Objective To discuss relaxed respiratory training on the improvement of anxiety,depression and sleep quality in chronic heart failure patients. Methods A total of 160 chronic heart failure patients in our hospital were randomly divided into control group and observation group,with 80 cases in per group. The patients in the control group received routine nursing and discharge follow-up visits,while those in the observation group received relaxed respiratory training based on routine nursing during hospitalization and after discharge. Patients' anxiety,depression and sleep quality in two groups were compared after 6 months. Results The occurrence rates of patients' anxiety and depression in the observation group were significantly lower,and sleep quality in the observation group was significantly higher than that in the control group( P < 0. 05). Conclusion Relaxed respiratory training can improve chronic heart failure patients' anxiety,depression and sleep quality.
Objective To discuss relaxed respiratory training on the improvement of anxiety,depression and sleep quality in chronic heart failure patients. Methods A total of 160 chronic heart failure patients in our hospital were randomly divided into control group and observation group,with 80 cases in per group. The patients in the control group received routine nursing and discharge follow-up visits,while those in the observation group received relaxed respiratory training based on routine nursing during hospitalization and after discharge. Patients' anxiety,depression and sleep quality in two groups were compared after 6 months. Results The occurrence rates of patients' anxiety and depression in the observation group were significantly lower,and sleep quality in the observation group was significantly higher than that in the control group( P < 0. 05). Conclusion Relaxed respiratory training can improve chronic heart failure patients' anxiety,depression and sleep quality.
引文
[1]邱伯雍.慢性心力衰竭流行病学及防治研究进展[J].中华实用诊断与治疗杂志,2017,31(6):619-621.
[2] Katherine E,Peter C,Karina L,et al. Prevalence and measurement of anxiety in samples of patients with heart failure meta-analysis[J]. J Cardiovase Nurs,2016,31(4):367-379.
[3] Jani B D,Mair F S,Roger V L,et al. Comorbid depression and heart failure:Acommunity cohort study[J]. PLo SONE,2016,11(6):e0158570
[4] Alhurain A S,Dekker R L,Abed M A,et al. The association of comorbid symptoms of depression and anxiety with all-cause mortality and cardiac rehospitalization in patients with heart failure[J]. Psychosomatics,2015,56(4):371-380.
[5]高静,弋新,吴晨曦,等.子午流注择时五行音乐疗法在慢性心力衰竭焦虑患者的应用效果[J].中华护理杂志,2016,51(4):443-448.
[6]项颖卿,罗萍,章国良.心理护理对慢性心力衰竭伴焦虑抑郁患者治疗依从性和生存质量的影响[J].实用医学杂志,2014,30(2):307-308.
[7]李莎莎,陈琛.协同护理模式对慢性心力衰竭患者负性情绪及生活质量的影响[J].中华现代护理杂志,2016,22(7):989-992.
[8]鞠珊,欧阳艳琼,王晓惠.渐进性肌肉放松训练在护理领域的应用进展[J].护理学杂志,2017,32(13):95-98.
[9]王苗,刘化侠,万学英,等.呼吸训练在非呼吸系统疾病中的应用现状及启示[J].中华护理杂志,2013,48(11):1030-1032.
[10]沈莹,郝敬荣,刘文娟,等.缩唇腹式呼吸训练改善老年慢性心力衰竭患者睡眠障碍的护理研究[J].中国实用护理杂志,2017,33(12):904-907.
[11]杨献军,黄飞翔,时永超,等.健身操训练对慢性心力衰竭患者运动耐量的影响[J].中华护理杂志,2015,50(2):193-197.
[12]郑磊磊,李惠春.常用焦虑及抑郁评估量表[J].中华全科医师杂志,2016,15(5):334-336.
[13]盛静,方芳,贵文君,等.老年人睡眠量表在临床应用中的心理测量标准化问题[J].中国老年学杂志,2018,38(1):220-224.
[14]温雪梅,卢仁泉,郭林.中国心力衰竭患者抑郁焦虑发病及干预效果的Meta分析[J].中华临床医师杂志:电子版,2014,10(4):702-709.
[15] Chung L J,Tsai P S. Liu B Y,et a1. Home-based deep breathing for depression in patients with coronary heart disease:a randomized controlled trial[J]. Nurs Stud,2010,47(11):1346-1353.
[16]张萍,史晓红,张浩,等.腹式呼吸训练作用机制及临床应用[J].现代中西医结合杂志,2012,21(2):221-223.
[17]中国康复医学会心血管病专业委员会,中国老年学学会心脑血管病专业委员会.慢性稳定性心力衰竭运动康复中国专家共识[J].中华心血管病杂志,2014,42(9):714-720.
[18]崔琳琳.慢性心力衰竭患者并发睡眠障碍的护理[J].天津护理,2016,24(2):125-126.
[19]梅宝菲,孔一慧.睡眠障碍与心血管疾病研究新进展[J].心血管病学进展,2015,36(5):603-605.
[20] Reiner R. Integrating a portable biofeedback device into clinical practice for patients with anxiety disorders results of a pilot study[J]. Applied Psychophysiology and Biofeedback,2008,33(1):55-61.
[2] Katherine E,Peter C,Karina L,et al. Prevalence and measurement of anxiety in samples of patients with heart failure meta-analysis[J]. J Cardiovase Nurs,2016,31(4):367-379.
[3] Jani B D,Mair F S,Roger V L,et al. Comorbid depression and heart failure:Acommunity cohort study[J]. PLo SONE,2016,11(6):e0158570
[4] Alhurain A S,Dekker R L,Abed M A,et al. The association of comorbid symptoms of depression and anxiety with all-cause mortality and cardiac rehospitalization in patients with heart failure[J]. Psychosomatics,2015,56(4):371-380.
[5]高静,弋新,吴晨曦,等.子午流注择时五行音乐疗法在慢性心力衰竭焦虑患者的应用效果[J].中华护理杂志,2016,51(4):443-448.
[6]项颖卿,罗萍,章国良.心理护理对慢性心力衰竭伴焦虑抑郁患者治疗依从性和生存质量的影响[J].实用医学杂志,2014,30(2):307-308.
[7]李莎莎,陈琛.协同护理模式对慢性心力衰竭患者负性情绪及生活质量的影响[J].中华现代护理杂志,2016,22(7):989-992.
[8]鞠珊,欧阳艳琼,王晓惠.渐进性肌肉放松训练在护理领域的应用进展[J].护理学杂志,2017,32(13):95-98.
[9]王苗,刘化侠,万学英,等.呼吸训练在非呼吸系统疾病中的应用现状及启示[J].中华护理杂志,2013,48(11):1030-1032.
[10]沈莹,郝敬荣,刘文娟,等.缩唇腹式呼吸训练改善老年慢性心力衰竭患者睡眠障碍的护理研究[J].中国实用护理杂志,2017,33(12):904-907.
[11]杨献军,黄飞翔,时永超,等.健身操训练对慢性心力衰竭患者运动耐量的影响[J].中华护理杂志,2015,50(2):193-197.
[12]郑磊磊,李惠春.常用焦虑及抑郁评估量表[J].中华全科医师杂志,2016,15(5):334-336.
[13]盛静,方芳,贵文君,等.老年人睡眠量表在临床应用中的心理测量标准化问题[J].中国老年学杂志,2018,38(1):220-224.
[14]温雪梅,卢仁泉,郭林.中国心力衰竭患者抑郁焦虑发病及干预效果的Meta分析[J].中华临床医师杂志:电子版,2014,10(4):702-709.
[15] Chung L J,Tsai P S. Liu B Y,et a1. Home-based deep breathing for depression in patients with coronary heart disease:a randomized controlled trial[J]. Nurs Stud,2010,47(11):1346-1353.
[16]张萍,史晓红,张浩,等.腹式呼吸训练作用机制及临床应用[J].现代中西医结合杂志,2012,21(2):221-223.
[17]中国康复医学会心血管病专业委员会,中国老年学学会心脑血管病专业委员会.慢性稳定性心力衰竭运动康复中国专家共识[J].中华心血管病杂志,2014,42(9):714-720.
[18]崔琳琳.慢性心力衰竭患者并发睡眠障碍的护理[J].天津护理,2016,24(2):125-126.
[19]梅宝菲,孔一慧.睡眠障碍与心血管疾病研究新进展[J].心血管病学进展,2015,36(5):603-605.
[20] Reiner R. Integrating a portable biofeedback device into clinical practice for patients with anxiety disorders results of a pilot study[J]. Applied Psychophysiology and Biofeedback,2008,33(1):55-61.