作者：梁婕，张欣，张燕华，杨萍

单位：

1.030024山西省太原市，山西省心血管病医院心内4病区 2.030024山西省太原市，山西省心血管病医院手术室 通信作者：杨萍，E-mail：yangping7290@163.com

Units：

1.Intracardiac No.4 Ward, Shanxi Cardiovascular Hospital, Taiyuan 030024, China 2.Operating Room, Shanxi Cardiovascular Hospital, Taiyuan 030024, China Corresponding author: YANG Ping, E-mail: yangping7290@163.com

关键词：

心肌梗死; 思维场疗法; 心脏康复训练; 心理弹性; 心功能; 生活质量;

Keywords：

Myocardial infarction; Thought field therapy; Cardiac rehabilitation training; Mental resilience; Cardiacfunction; Quality of life

CLC：

DOI：

10.12114/j.issn.1008-5971.2022.00.084

Funds：

山西省心血管病医院科研激励计划项目（XYS20190302）

摘要：

目的 探究思维场疗法联合早期心脏康复训练对急性心肌梗死(AMI)患者心理弹性、心功能及生活质量的影响。方法 选取2020年1月至2021年5月在山西省心血管病医院行经皮冠状动脉介入治疗(PCI)的AMI患者76例,采用随机数字表法将其分为对照组和观察组,每组38例。对照组患者PCI后接受早期心脏康复训练,观察组患者PCI后接受思维场疗法联合早期心脏康复训练。比较两组患者干预前及出院前1 d心功能指标〔左心室射血分数(LVEF)、Killip分级、6 min步行距离〕、心理弹性量表(CD-RISC)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分,住院时间、不良事件发生率,出院后3个月健康调查简表(SF-36)评分。结果 出院前1 d,观察组患者LVEF、Killip分级Ⅰ级者占比及乐观评分、坚韧评分、自强评分、CD-RISC总分高于对照组,6 min步行距离长于对照组,SAS评分和SDS评分低于对照组(P<0.05)。观察组患者住院时间短于对照组(P<0.001)。两组患者不良事件发生率比较,差异无统计学意义(P>0.05)。出院后3个月,观察组患者躯体疼痛(BP)、生理机能(PF)、一般健康状况(GH)、生理职能(RP)、社会功能(SF)、情感职能(RE)、精力(VT)及精神健康(MH)评分高于对照组(P<0.05)。结论 思维场疗法联合早期心脏康复训练可有效减轻AMI患者PCI后焦虑、抑郁情绪,调控其心理弹性,进而利于其心功能恢复及生活质量改善。

Abstract：

【Abstract】　Objective To explore the effect of thought field therapy combined with early cardiac rehabilitationtraining on mental resilience, cardiac function and quality of life in patients with acute myocardial infarction (AMI) . Methods Atotal of 76 AMI patients who received percutaneous coronary interventional (PCI) in Shanxi Cardiovascular Hospital from January2020 to May 2021 were selected and divided into control group and observation group by the random number table method, 38cases in each group. The control group was given early cardiac rehabilitation training after PCI, and the observation group wasgiven thought field therapy combined with early cardiac rehabilitation training after PCI. The cardiac function indicators [leftventricular ejection fraction (LVEF) , Killip classification, 6-minute walking distance] , Connor-Davidson Resilience Scale (CDRISC) , Self-rating Anxiety Scale （SAS）score, and Self-rating Depression Scale (SDS) score before intervention and 1 d beforedischarge, the hospitalization time, incidence of adverse events, the MOS Item Short from Health Survey (SF-36) score 3 monthsafter discharge were compared between the two groups. Results One day before discharge, LVEF, the proportion of patients withKillip classificationⅠ, optimism score, tenacity score, self-improvement score and CD-RISC total score in the observation groupwere higher than those in the control group, the 6-min walking distance was longer than that in the control group, and the SASscore and SDS score were lower than those in the control group (P <0.05) . The hospitalization time in the observation group wasshorter than that in the control group (P <0.001) . There was no significant difference in the incidence of adverse events betweenthe two groups (P > 0.05) . Three months after discharge, the scores of body pain (BP) , physiological function (PF) , general health(GH) , role physical (RP) , social function (SF) , role emotional (RE) , vitality (VT) and mental health (MH) in the observationgroup were higher than those in the control group (P <0.05) . Conclusion Thought field therapy combined with early cardiacrehabilitation training can effectively reduce the anxiety and depression of AMI patients after PCI, regulate their psychologicalelasticity, and then help them recover their cardiac function and improve their quality of life.

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