运动联合认知行为干预对慢性心衰抑郁的康复治疗效果

Rehabilitation Treatment Effect of Exercise Combined with Cognitive Behavior Intervention on Chronic Heart Failure

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2022, 49(4)
作者
作者单位

平煤神马集团总医院CCU ;

摘要
【摘要】探讨运动联合认知行为干预对慢性心衰抑郁的康复治疗效果。方法 本研究对象为2019年1月~2021年1月我院84例慢性心衰抑郁患者,数字表法随机均分为两组,对照组采用常规护理,观察组在常规护理基础上给予运动联合认知行为干预。干预前后评价焦虑自评量表(SAS)、抑郁自评量表(SDS),检查干预前后左心室射血分数(LVEF)、6min步行距离(6MWT)、明尼苏达州心力衰竭生活质量问卷(LiHFe)。结果 两组干预后SAS评分、SDS评分均显著低于干预前,且干预后观察组两项评分均显著低于对照组,(P<0.05);干预后两组LVEF、6MWT均显著高于干预前,LiHFe评分显著低于干预前,且干预后观察组LVEF、6MWT高于对照组,LiHFe评分低于对照组,(P<0.05)。结论 运动联合认知行为干预能有效降低慢性心衰抑郁患者负性情绪,并改善心脏功能,提升生活质量,起到有效的双心康复效果。
Abstract
[Abstract] Objective To explore the rehabilitation treatment effect of exercise combined with cognitive behavior intervention on chronic heart failure depression. Methods Eighty-four patients with chronic heart failure depression in our hospital from January 2019 to January 2021 were the subjects of this study. They were randomly divided into two groups by the number table method. The control group received routine care, and the observation group was given exercise joint recognition on the basis of routine care. Knowing behavioral intervention. Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) before and after the intervention, and check the left ventricular ejection fraction (LVEF), 6-min walking distance (6MWT), Minnesota Heart Failure Quality of Life Questionnaire (LiHFe) before and after the intervention were evaluated. Results After the intervention, the SAS score and SDS score of the two groups were significantly lower than those before the intervention, and the two scores of the observation group after the intervention were significantly lower than those of the control group (P<0.05). After the intervention, the LVEF and 6MWT of the two groups were significantly higher than before the intervention, and the LiHFe score was significantly lower than that before the intervention. After the intervention, the LVEF and 6MWT of the observation group were higher than the control group, and the LiHFe score was lower than the control group (P<0.05). Conclusion Exercise combined with cognitive behavior intervention can effectively reduce the negative emotions of patients with chronic heart failure depression, improve heart function, enhance the quality of life, and play an effective dual-heart rehabilitation effect.
关键词
关键词:运动干预;认知行为干预;慢性心衰;抑郁
KeyWord
Key words Exercise Intervention; Cognitive Behavior Intervention; Chronic Heart Failure; Depression
基金项目
页码 730-733
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杨爱可*. 运动联合认知行为干预对慢性心衰抑郁的康复治疗效果 [J]. 国际精神病学杂志. 2022; 49; (4). 730 - 733.

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