本文選題：繪畫治療 + 冠心病�。� 參考：《中國全科醫(yī)學(xué)》2017年22期

【摘要】：目的了解繪畫治療對中年男性冠心病患者的康復(fù)作用。方法選取2015年1月—2016年1月在佛山市順德區(qū)桂洲醫(yī)院門診就診和住院、年齡40~59歲的男性冠心病患者78例。采用隨機(jī)數(shù)字表法將所有患者分成對照組(n=39)和觀察組(n=39)。對照組僅接受規(guī)范藥物治療,觀察組在對照組的治療基礎(chǔ)上進(jìn)行團(tuán)體和/或一對一繪畫治療,干預(yù)時間為6個月。所有患者康復(fù)治療前后均接受心臟彩超、頸動脈彩超檢查及生活質(zhì)量評估。彩超檢查的觀察指標(biāo)為左心室舒張末期內(nèi)徑(LVDD)、左心室射血分?jǐn)?shù)(LVEF)及頸動脈內(nèi)中膜厚度(IMT);生活質(zhì)量評估量表包括簡明36項(xiàng)健康問卷(SF-36)、西雅圖心絞痛量表(SAQ)及心肌梗死后生活質(zhì)量問卷(QLMI)。結(jié)果兩組患者治療前SF-36生理健康、心理健康評分及健康總分比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);治療后觀察組SF-36各項(xiàng)評分和總分高于對照組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者治療前SAQ軀體活動受限程度、心絞痛穩(wěn)定狀態(tài)、心絞痛發(fā)作情況、治療滿意程度、疾病認(rèn)識程度評分及總分比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);治療后觀察組SAQ各項(xiàng)評分和總分高于對照組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者治療前QLMI癥狀、活動受限程度、信心、自尊、情感評分及總分比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05);治療后QLMI各項(xiàng)評分和總分高于對照組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組患者治療前后LVDD、LVEF及IMT比較,差異均無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論在規(guī)范藥物治療的基礎(chǔ)上,聯(lián)合繪畫治療可以明顯改善患者的總體健康水平,提高心絞痛的穩(wěn)定狀態(tài)和改善心絞痛發(fā)作情況,提高患者對疾病的認(rèn)識程度和治療滿意程度,增加患者的信心、自尊等。
[Abstract]:Objective to investigate the effect of painting therapy on the rehabilitation of middle-aged male patients with coronary heart disease. Methods from January 2015 to January 2016, 78 male patients with coronary heart disease (CHD) aged 40 to 59 years were selected from outpatient and inpatient clinic of Guizhou Hospital, Shunde District, Foshan City. All the patients were randomly divided into two groups: control group (n = 39) and observation group (n = 39). The control group was only treated with standard drugs, and the observation group was treated with group and / or one-to-one drawing therapy on the basis of the treatment of the control group. The intervention time was 6 months. All patients underwent echocardiography, carotid ultrasonography and quality of life assessment before and after rehabilitation. Color Doppler ultrasonography was performed on left ventricular end-diastolic diameter (LVDD), left ventricular ejection fraction (LVEF) and carotid intima-media thickness (IMT), and the quality of life assessment scale included 36 brief health questionnaires (SF-36), Seattle angina scale (SAQ) and myocardial infarction. Postmortem quality of Life questionnaire (QLMI). Results there was no significant difference in the scores of SF-36 before treatment between the two groups (P0.05), but the scores and total scores of SF-36 in the observation group were higher than those in the control group (P0.05). Before treatment, the degree of restricted physical activity of SAQ, the stable state of angina pectoris, the attack of angina pectoris, the degree of treatment satisfaction, the score of disease awareness and the total score were compared between the two groups. The difference was not statistically significant (P0.05); the SAQ scores and total scores in the observation group were higher than those in the control group after treatment (P0.05). There was no significant difference in QLMI symptoms, activity restriction, confidence, self-esteem, emotion score and total score between the two groups before treatment (P0.05); after treatment, QLMI scores and total scores were higher than those in the control group, the differences were statistically significant (P0.05). There was no significant difference in LVDDD LVEF and IMT between the two groups before and after treatment (P0.05). Conclusion on the basis of standardized drug therapy, combined painting therapy can obviously improve the overall health level of the patients, improve the stable state of angina pectoris, improve the attack of angina pectoris, and improve the degree of understanding and treatment satisfaction of the patients with angina pectoris. Increase patient's confidence, self-esteem, etc.
【作者單位】： 廣東省佛山市順德區(qū)桂洲醫(yī)院心內(nèi)科;廣東省佛山市順德區(qū)桂洲醫(yī)院功能科;
【基金】：佛山市醫(yī)學(xué)類科技攻關(guān)項(xiàng)目(2015AB001973)
【分類號】：R541.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 盧耀軍;;心臟康復(fù)訓(xùn)練對慢性冠心病穩(wěn)定型心絞痛患者PCI術(shù)后心功能和生活質(zhì)量的影響[J];中國老年學(xué)雜志;2017年08期

2 許艷梅;馮玉寶;蘇平;李永玲;李長青;喬建晶;;運(yùn)動康復(fù)對經(jīng)皮冠狀動脈介入治療術(shù)后冠心病患者心功能的影響[J];中國循環(huán)雜志;2017年04期

3 石曉明;蔣戈利;劉文紅;聶道芳;薛艷艷;李桂香;姚莉;張彬彬;;八段錦對冠心病患者心臟康復(fù)過程心肺功能的影響[J];解放軍醫(yī)藥雜志;2017年02期

4 楊改寧;;多層螺旋CT聯(lián)合尿酸、最大頸動脈內(nèi)膜中層厚度及同型半胱氨酸檢測在冠心病診斷中的應(yīng)用價值[J];陜西醫(yī)學(xué)雜志;2017年02期

5 樊剛;王忠;王麗;段軍倉;黃磊;李小雷;;預(yù)防性經(jīng)皮冠狀動脈介入治療術(shù)對多支血管病變ST段抬高型心肌梗死患者預(yù)后影響的Meta分析[J];中國全科醫(yī)學(xué);2016年25期

6 李s，

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