认知行为疗法联合放松训练对冠心病患者心理状态、自我管理与睡眠质量的影响
The Effect of Cognitive-behavioral Therapy Combined with Relaxation Training on the Psychological State,Self-management,and Sleep Quality of Patients with Coronary Heart Disease
黄婉治 1张明哲1
作者信息
- 1. 福建省泉州市第一医院,泉州,362000
- 折叠
摘要
目的:分析认知行为疗法(CBT)联合放松训练在冠心病患者中的应用效果.方法:选取2023年3月至2023年11月期间福建省泉州市第一医院心内科收治的冠心病患者76例作为研究对象,按照随机数字表法分为对照组和观察组,每组38例.对照组给予常规健康教育与心理支持干预,观察组给予认知行为疗法联合放松疗法干预.采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较2组患者干预前后焦虑、抑郁状态的改善效果,采用冠心病自我管理量表(CSMS)测量2组患者的自我护理能力,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化.结果:干预后,观察组HAMA评分、HAMD评分、PSQI评分显著低于对照组,观察组CSMS评分显著高于对照组,差异均有统计学意义(均P＜0.05).结论:CBT联合放松训练可减轻冠心病患者心理障碍,增强自我管理能力,改善睡眠质量,值得临床推广应用.
Abstract
Objective:To analyze the application effect of cognitive behavioral therapy(CBT)combined with relaxation training in patients with coronary heart disease.Methods:A total of 76 patients with coronary heart disease admitted to the Department of Car-diology at the First Hospital of Quanzhou City,Fujian Province,from March 2023 to November 2023,were selected as the study sub-jects.They were randomly divided into control and observation groups using a random number table method,with 38 cases in each group.The control group received routine health education and psychological support intervention,while the observation group re-ceived cognitive behavioral therapy combined with relaxation therapy intervention.The Hamilton Anxiety Scale(HAMA)and Hamil-ton Depression Scale(HAMD)were used to compare the improvement effects of anxiety and depression status between two groups of patients before and after intervention.The Coronary Heart Disease Self-Management Scale(CSMS)was used to measure the self-care ability of the two groups of patients.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality be-tween the two groups of patients before and after intervention.Results:After intervention,the HAMA score,HAMD score,and PSQI score of the observation group were significantly lower than those of the control group,while the CSMS score of the observation group was significantly higher than that of the control group.The differences between the two groups were statistically significant(P＜0.05).Conclusion:The combination of CBT and relaxation training can alleviate psychological disorders,enhance self-management ability,and improve sleep quality in patients with coronary heart disease,which is worthy of clinical promotion and application.
关键词
冠心病/认知行为疗法/放松训练/焦虑/抑郁/自我管理/睡眠质量Key words
Coronary heart disease/Cognitive behavioral therapy/Relaxation training/Anxiety/Depression/Self-management/Sleep quality引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据