正念减压训练对初次心肌梗死患者抑郁、焦虑及睡眠质量的影响(1)
【摘要】 目的 觀察正念减压训练对初次心肌梗死患者抑郁、焦虑及睡眠质量的影响。方法 根据心肌梗死患者的特点制定正念减压训练课程。将近期初次心肌梗死患者纳入研究(100例)，按照随机数字表分为两组，对照组(50例)给予常规护理，观察组(50例)在常规护理的基础上参加正念减压训练。对比观察经皮冠脉介入(PCI)术前、术后两组患者血清心肌肌钙蛋白T(cTnT)、同型半胱氨酸(Hcy)、胱抑素C(CysC)、左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)和左心室射血分数(LVEF)，抑郁自评量表(SDS)评分、 焦虑自评量表(SAS)评分，以及匹兹堡睡眠质量指数(PSQI)评分。结果 两组术前的实验室指标和心功能指标比较差异无统计学意义(P>0.05)。术后14 d，两组患者cTnT、Hcy、CysC、LVEDD、LVESD均较术前下降，LVEF较术前升高，差异有统计学意义(P<005);组间比较各指标差异无统计学意义(P>0.05)。两组患者术后3 d 的SDS评分、SAS评分及PSQI评分比较差异无统计学意义 (P>005)。术后14 d两组的SDS评分、SAS评分及PSQI评分均较术后3 d下降(P<0.05或0.01)，观察组各个指标下降幅度大于对照组(P<0.01)。结论 正念减压训练对初次心肌梗死患者的生化指标改善及心功能提高作用不明显，但可显著降低患者抑郁及焦虑程度，提高患者睡眠质量。
【关键词】 心肌梗死;正念减压训练;抑郁;焦虑;睡眠质量
中图分类号：R473.73 文献标志码：A DOI：10.3969/j.issn.10031383.2019.02.015
【Abstract】 Objective To observe the effects of mindfulnessbased stress reduction training on depression，anxiety and sleep quality in patients with primary myocardial infarction.Methods Based on the characteristics of patients with myocardial infarction，the courses of mindfulnessbased stress reduction training were developed.A total of 100 patients with recent primary myocardial infarction were included in the study and divided into two groups according to random digital table.Control group(50 cases) were given routine nursing，while observation group(50 cases) were given mindfulnessbased stress reduction training on the basis of routine nursing.And then，serum cardiac troponin T(cTnT)，homocysteine(Hcy)，cystatin C(CysC)，left ventricular enddiastolic diameter(LVEDD)，left ventricular endsystolic diameter(LVESD)，left ventricular ejection fraction(LVEF)，selfrating depression scale(SDS) scores，selfrating anxiety scale(SAS) scores and PSQI scores before and after percutaneous coronary intervention(PCI) were compared and observed between the two groups.Results Before treatment，difference of laboratory and cardiac function indexes was not statistically significant(P>0.05).14 d after operation，cTnT，Hcy，CysC，LVEDD and LVESD decreased，but LVEF increased in both groups，difference was statistically significant(P<0.05).There was no statistically significant difference in each index between groups(P>0.05).The difference in SDS scores，SAS scores and PSQI scores 3 days after operation between the two groups was not statistically significant(P>0.05).The SDS scores，SAS scores and PSQI scores of the two groups on the 14th day after operation were lower than those on the 3rd day after operation(P<0.05 or 0.01)，and each index in the observation group decreased more significantly than the control group(P<0.01).Conclusion Mindfulnessbased stress reduction training has no obvious effect on the improvement of biochemical indexes and cardiac function in patients with primary myocardial infarction，but it can significantly reduce the degree of depression and anxiety，and improve the sleep quality of patients., http://www.100md.com(屈沛沛 秦婷 邓琪 屈萌萌)
【关键词】 心肌梗死;正念减压训练;抑郁;焦虑;睡眠质量
中图分类号：R473.73 文献标志码：A DOI：10.3969/j.issn.10031383.2019.02.015
【Abstract】 Objective To observe the effects of mindfulnessbased stress reduction training on depression，anxiety and sleep quality in patients with primary myocardial infarction.Methods Based on the characteristics of patients with myocardial infarction，the courses of mindfulnessbased stress reduction training were developed.A total of 100 patients with recent primary myocardial infarction were included in the study and divided into two groups according to random digital table.Control group(50 cases) were given routine nursing，while observation group(50 cases) were given mindfulnessbased stress reduction training on the basis of routine nursing.And then，serum cardiac troponin T(cTnT)，homocysteine(Hcy)，cystatin C(CysC)，left ventricular enddiastolic diameter(LVEDD)，left ventricular endsystolic diameter(LVESD)，left ventricular ejection fraction(LVEF)，selfrating depression scale(SDS) scores，selfrating anxiety scale(SAS) scores and PSQI scores before and after percutaneous coronary intervention(PCI) were compared and observed between the two groups.Results Before treatment，difference of laboratory and cardiac function indexes was not statistically significant(P>0.05).14 d after operation，cTnT，Hcy，CysC，LVEDD and LVESD decreased，but LVEF increased in both groups，difference was statistically significant(P<0.05).There was no statistically significant difference in each index between groups(P>0.05).The difference in SDS scores，SAS scores and PSQI scores 3 days after operation between the two groups was not statistically significant(P>0.05).The SDS scores，SAS scores and PSQI scores of the two groups on the 14th day after operation were lower than those on the 3rd day after operation(P<0.05 or 0.01)，and each index in the observation group decreased more significantly than the control group(P<0.01).Conclusion Mindfulnessbased stress reduction training has no obvious effect on the improvement of biochemical indexes and cardiac function in patients with primary myocardial infarction，but it can significantly reduce the degree of depression and anxiety，and improve the sleep quality of patients., http://www.100md.com(屈沛沛 秦婷 邓琪 屈萌萌)