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提高心率變異性異常者自控力的實用性研究

發(fā)布時間:2018-05-14 03:07

  本文選題:自控力 + 訓練 ; 參考:《川北醫(yī)學院學報》2017年02期


【摘要】:目的:探討提高自控力的個體化有效訓練方法。方法:選取2014年7月至2016年6月行動態(tài)心電圖檢查(dynamic electrocardiogram,DCG)有心率變異性(heart rate variability,HRV)異常的非器質(zhì)性疾病檢查者200例,進行壓力、抑郁、自控力調(diào)查。試驗組100例進行個性化自控力訓練方法,另100例作為對照組給予常規(guī)指導。半年至1年后復查HRV、自控力,同時對訓練效果以"生活方式執(zhí)行情況調(diào)查表"進行統(tǒng)計分析。結(jié)果:訓練前兩組比較無統(tǒng)計學意義(P0.05);對照組1年后回訪到75例,自控力前后比較有一定程度改善,但無統(tǒng)計學意義(P0.05)。試驗組100例16例放棄,余84例均能堅持訓練和采取健康生活方式,HRV和自控力前后比較有非常顯著差異(P0.05)。結(jié)論:提高自控力的個體化有效訓練,可改善非器質(zhì)性的HRV患者療效,值得臨床推廣應(yīng)用。自控力訓練還可推廣到無禁忌的疾病者、亞健康和健康人群。
[Abstract]:Objective: to explore an effective and individualized training method to improve self-control. Methods: from July 2014 to June 2016, 200 patients with abnormal heart rate variability and heart rate variability (HRV) were examined by dynamic electrocardiograms (DCG) for stress, depression and self-control. The test group (100 cases) received individualized self-control training, and the other 100 cases (control group) were given routine instruction. After half a year to one year, the HRV was reviewed, and the effect of training was statistically analyzed by the lifestyle implementation questionnaire. Results: before training, there was no significant difference between the two groups (P 0.05), and 75 cases in the control group (1 year later) had some improvement in self-control, but there was no significant difference between the two groups before and after training (P 0.05). In the test group, 100 cases (16 cases) gave up, and the remaining 84 cases were able to persist in training and adopt a healthy lifestyle. There was a significant difference between HRV and self-control before and after training (P 0.05). Conclusion: the individualized and effective training to improve self-control ability can improve the curative effect of non-organic HRV patients and it is worth popularizing in clinic. Self-control training can also be extended to non-taboo disease, sub-health and healthy people.
【作者單位】: 重慶市墊江縣人民醫(yī)院心血管內(nèi)科;重慶市墊江縣人民醫(yī)院護理部;重慶市墊江縣人民醫(yī)院醫(yī)務(wù)科;
【基金】:重慶市衛(wèi)計委科研項目(20142209)
【分類號】:R541.7
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本文編號:1886039

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