| 张兴霞,苗 婷,陈 曦.正念减压训练对老年慢性心力衰竭患者心肺功能、
心理状态和生活质量的影响[J].,2025,(6):1016-1030 |
| 正念减压训练对老年慢性心力衰竭患者心肺功能、
心理状态和生活质量的影响 |
| Effect of Mindfulness Decompression Training on Cardiopulmonary Function, Psychological Status and Quality of Lifein Elderly Patients with Chronic Heart Failure |
| 投稿时间：2024-11-04 |
| DOI：doi: 10.13241/j.cnki.pmb.2025.06.006 |
| 中文关键词: 正念减压训练 老年 慢性心力衰竭 心肺功能 心理状态 生活质量 |
| 英文关键词: Mindfulness decompression training Elderly Chronic heart failure Cardiopulmonary function Psychological status Quality of life |
| 基金项目: |
|
| 摘要点击次数: 1901 |
| 全文下载次数: 1825 |
| 中文摘要: |
| 摘要 目的： 探讨正念减压训练对老年慢性心力衰竭（CHF）患者心肺功能、心理状态和生活质量的影响。方法：采用随机数字表法将2022年1月至2024年1月期间我院收治的122例老年CHF患者分为对照组（常规干预，n=61）和实验组（对照组的基础上接受正念减压训练，n=61）。对比两组心功能指标[左室射血分数（LVEF）、左室舒张末期内径（LVEDD）、左心房内径（LAD）、心脏指数（CI）]、肺功能指标及运动耐力[第一秒用力呼气量（FEV1）、呼气流速峰值（PEF）、用力肺活量（FVC）、最大自主呼吸通气量（MVV）、6分钟步行试验（6MWT）]、心理状态变化情况[汉密尔顿焦虑量表（HAMA）评分、汉密尔顿抑郁量表（HAMD）评分]及明尼苏达心力衰竭患者生活质量问卷（MLHFQ）评分。结果：与对照组相比，实验组干预后LVEF、CI、FEV1、PEF、FVC、MVV、6MWT更高，LVEDD、LAD及HAMA、HAMD、MLHFQ评分更低（P＜0.05）。结论：正念减压训练应用于老年CHF患者，可有效改善患者的心肺功能和运动耐力，减轻焦虑抑郁情绪，并提升患者的生活质量。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effect of mindfulness decompression training on cardiopulmonary function, psychological status and quality of life in elderly patients with chronic heart failure (CHF). Methods: Using random number table method, 122 elderly CHF patients admitted to our hospital from January 2022 to January 2024 were divided into control group (conventional intervention, n=61) and experimental group (receiving mindfulness based stress reduction training on the basis of the control group, n=61). The cardiac function indexes [left ventricular ejection fraction (LVEF), left ventricular end-diastolic diameter (LVEDD), left atrial diameter (LAD), cardiac index (CI)], pulmonary function indexes and exercise tolerance [forced expiratory volume in the first second (FEV1), peak expiratory flow (PEF), forced vital capacity (FVC), maximum voluntary ventilation (MVV), 6-minute walking test (6MWT)], psychological status changes [Hamilton Anxiety Scale (HAMA) score, Hamilton Depression Scale (HAMD) score] and quality of life were compared between two groups. Results: Compared with the control group, the experimental group had higher LVEF, CI, FEV1, PEF, FVC, MVV, and 6MWT, and lower LVEDD, LAD and the scores of HAMA, HAMD, and MLHFQ after intervention (P<0.05). Conclusion: The application of mindfulness decompression training in elderly patients with CHF, which can effectively improve the cardiopulmonary function and exercise endurance of patients, reduce anxiety and depression, and improve the quality of life of patients. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
