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正念减压疗法对冠心病合并高血压患者睡眠质量、心理状态及心血管事件发生率的影响

  • 杨海鸿

* 通信作者: 杨海鸿, 单位:河南省人民医院心脏中心、华中阜外医院,郑州大学华中阜外医院 心血管内科

摘要

【摘要】
目的 探讨正念减压疗法对冠心病合并高血压患者睡眠质量、心理状态及心血管事件发生率的影响。

方法 纳入2018年12月~2019年12月期间我院接诊的113例冠心病合并高血压患者作为本次研究对象,随机抽签法分为两组,对照组56例患者接受常规干预,研究组57例患者在常规干预基础上加用正念减压疗法,比较两组患者失眠质量、心理状态及心肌梗死、心力衰竭、心律失常等心血管事件的发生情况。

结果 干预后,两组患者SPIEGEL睡眠评分明显降低,且研究组低于对照组,组间比较差异有意义(P<0.05);两组患者SAS评分及SDS评分均明显降低,且研究组患者SAS评分及SDS评分较对照组更低,组间比较差异有意义(P<0.05);研究组患者心血管事件发生率较对照组更低,差异有意义(P<0.05)。

结论 正念减压疗法能显著减轻冠心病合并高血压患者负面心理情绪,提高患者睡眠治疗,减少心血管事件的发生风险,值得推荐。

关键词:【关键词】正念减压疗法;冠心病合并高血压;睡眠质量;心理状态;心血管事件

ABSTRACT

【Abstract】
Objective To explore the effect of mindfulness decompression therapy on sleep quality, mental state and incidence of cardiovascular events in patients with coronary heart disease and hypertension.

Methods 113 patients with coronary heart disease and hypertension who were admitted to our hospital from December 2018 to December 2019 were included as the subjects of this study. They were randomly divided into two groups. 56 patients in the control group received routine intervention, and the study group 57 patients were treated with mindfulness decompression therapy on the basis of routine intervention, and the quality of insomnia, mental state, and occurrence of cardiovascular events such as myocardial infarction, heart failure, and arrhythmia were compared between the two groups.

Results After the intervention, the SPIEGEL sleep score of the two groups of patients was significantly reduced, and the study group was lower than the control group, the difference between the groups was significant (P<0.05); the SAS score and SDS score of the two groups were significantly reduced, and the study group had SAS The score and SDS score were lower than those of the control group, and the difference between the groups was significant (P<0.05); the incidence of cardiovascular events in the study group was lower than that of the control group, and the difference was significant (P<0.05).

Conclusion   Mindfulness decompression therapy can significantly reduce the negative psychological emotions of patients with coronary heart disease and hypertension, improve patients' sleep therapy, and reduce the risk of cardiovascular events. It is worth recommending.

Key words: [Keywords] mindfulness decompression therapy; coronary heart disease with hypertension; sleep quality; mental state; cardiovascular events

引用本文 / How to Cite This Article

杨海鸿.正念减压疗法对冠心病合并高血压患者睡眠质量、心理状态及心血管事件发生率的影响[J]. 国际精神病学杂志, 2021, 48(2): 351-353

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