情志干预对老年急性心律失常患者中医证候积分、心理应激反应及生活质量的影响

摘要

目的:探讨中医系统情志干预对老年急性心律失常患者中医证候积分、心理应激反应及生活质量的影响.方法:将100例患者按照随机数字表法分为对照组(50例)和观察组(50例),对照组患者给予常规护理,观察组患者在对照组基础上给予中医系统情志干预,2周后观察临床疗效,心悸、胸闷痛、气短乏力、头身困重、脘腹痞满、口黏多痰中医证候积分,抑郁和焦虑等心理应激反应和生活质量.结果:总有效率观察组为92.00％,对照组为74.00％,2组比较差异有统计学意义(P＜0.05).心悸、胸闷痛、气短乏力、头身困重、脘腹痞满、口黏多痰等中医证候积分治疗前后2组组内比较,差异有统计学意义(P＜0.05);治疗后组间比较,差异也有统计学意义(P＜0.05).焦虑评分和抑郁评分治疗前后2组组内比较,差异有统计学意义(P＜0.05);治疗后组间比较,差异也有统计学意义(P＜0.05).情绪功能、认知功能、角色功能、躯体功能、社会功能等生活质量评分治疗前后2组组内比较,差异有统计学意义(P＜0.05);治疗后组间比较,差异也有统计学意义(P＜0.05).结论:中医系统情志干预老年急性心律失常患者可降低中医证候积分,减轻心理应激反应,提高生活质量,临床疗效较好.%Objective:To explore the effects of emotional intervention of TCM system on TCM syndrome scales,mental stress and quality of life of senile patients suffering acute arrhythmia.Methods:One hundred patients were allocated to the control group and the observation group according to random number table method,the control group accepted routine care,and the observation group emotional intervention of TCM system on the foundation of the therapy the control group received,quality of life,mental stress including depression,anxiety and others,TCM syndrome scales such as palpitation,chest pain,shortness of breath and fatigue,heavy cumbersome head and body,abdominal fullness,sticky mouth and phlegm,and others,as well as clinical effects of both groups were observed in two weeks.Results:Total effective rate of the observation group was 92.00％,higher than 74.00％ of the control group,and the difference had statistical meaning (P＜0.05).When TCM syndrome scales such as palpitation,chest pain,shortness of breath and fatigue,heavy cumbersome head and body,abdominal fullness,sticky mouth and phlegm,and others were compared before and after treating within two groups,and the difference had statistical meaning (P＜0.05);the difference showed statistical meaning in the comparisons between both groups after treating (P＜0.05).The difference presented statistical meaning in the comparison of depression and anxiety scales before and after treating within two groups (P＜0.05);the difference had statistical meaning in the comparison between both groups after treating (P＜0.05).The difference showed statistical meaning in the comparisons of the scales of quality of life including emotional function,cognitive function,role function,somatic function,social function before and after treating within two groups (P＜0.05);the difference had statistical meaning in the comparison between both groups after treating (P＜0.05).Conclusion:Emotional intervention of TCM system in the intervention of senile patients suffering acute arrhythmia could decrease TCM syndrome scales,alleviate mental stress and improve quality of life,which could obtain good clinical effects.