本文選題：繪畫治療 + 冠心病��； 參考：《中國全科醫(yī)學》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。采用隨機數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上進行團體和/或一對一繪畫治療,干預時間為6個月。所有患者康復治療前后均接受心臟彩超、頸動脈彩超檢查及生活質量評估。彩超檢查的觀察指標為左心室舒張末期內徑(LVDD)、左心室射血分數(LVEF)及頸動脈內中膜厚度(IMT);生活質量評估量表包括簡明36項健康問卷(SF-36)、西雅圖心絞痛量表(SAQ)及心肌梗死后生活質量問卷(QLMI)。結果兩組患者治療前SF-36生理健康、心理健康評分及健康總分比較,差異無統計學意義(P0.05);治療后觀察組SF-36各項評分和總分高于對照組,差異均有統計學意義(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、疾病認識程度評分及總分比較,差異無統計學意義(P0.05);治療后觀察組SAQ各項評分和總分高于對照組,差異均有統計學意義(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,差異無統計學意義(P0.05);治療后QLMI各項評分和總分高于對照組,差異均有統計學意義(P0.05)。兩組患者治療前后LVDD、LVEF及IMT比較,差異均無統計學意義(P0.05)。結論在規(guī)范藥物治療的基礎上,聯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)學類科技攻關項目(2015AB001973)
【分類號】：R541.4

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