绘画治疗对中年男性冠心病患者康复作用的研究

发布时间：2018-07-10 03:00

本文选题：绘画治疗 + 冠心病　；参考：《中国全科医学》2017年22期

【摘要】：目的了解绘画治疗对中年男性冠心病患者的康复作用。方法选取2015年1月—2016年1月在佛山市顺德区桂洲医院门诊就诊和住院、年龄40~59岁的男性冠心病患者78例。采用随机数字表法将所有患者分成对照组(n=39)和观察组(n=39)。对照组仅接受规范药物治疗,观察组在对照组的治疗基础上进行团体和/或一对一绘画治疗,干预时间为6个月。所有患者康复治疗前后均接受心脏彩超、颈动脉彩超检查及生活质量评估。彩超检查的观察指标为左心室舒张末期内径(LVDD)、左心室射血分数(LVEF)及颈动脉内中膜厚度(IMT);生活质量评估量表包括简明36项健康问卷(SF-36)、西雅图心绞痛量表(SAQ)及心肌梗死后生活质量问卷(QLMI)。结果两组患者治疗前SF-36生理健康、心理健康评分及健康总分比较,差异无统计学意义(P0.05);治疗后观察组SF-36各项评分和总分高于对照组,差异均有统计学意义(P0.05)。两组患者治疗前SAQ躯体活动受限程度、心绞痛稳定状态、心绞痛发作情况、治疗满意程度、疾病认识程度评分及总分比较,差异无统计学意义(P0.05);治疗后观察组SAQ各项评分和总分高于对照组,差异均有统计学意义(P0.05)。两组患者治疗前QLMI症状、活动受限程度、信心、自尊、情感评分及总分比较,差异无统计学意义(P0.05);治疗后QLMI各项评分和总分高于对照组,差异均有统计学意义(P0.05)。两组患者治疗前后LVDD、LVEF及IMT比较,差异均无统计学意义(P0.05)。结论在规范药物治疗的基础上,联合绘画治疗可以明显改善患者的总体健康水平,提高心绞痛的稳定状态和改善心绞痛发作情况,提高患者对疾病的认识程度和治疗满意程度,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.
【作者单位】：广东省佛山市顺德区桂洲医院心内科;广东省佛山市顺德区桂洲医院功能科;
【基金】：佛山市医学类科技攻关项目(2015AB001973)
【分类号】：R541.4

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