[1]瞿兴芹,周维华.认知行为疗法对肺源性心脏病患者心功能康复及焦虑、抑郁情绪的影响[J].西部中医药,2018,31(12):134-137.
　QU Xingqin,ZHOU Weihua.Effects of Cognitive Behavior Therapy on Cardiac Function Recovery,Anxiety and Depression of the Patients with Pulmonary Heart Disease[J].Western Journal of Traditional Chinese Medicine,2018,31(12):134-137.
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认知行为疗法对肺源性心脏病患者心功能康复及焦虑、抑郁情绪的影响
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年12期
页码:
134-137
栏目:
出版日期:
2018-12-15

文章信息/Info

Title:
Effects of Cognitive Behavior Therapy on Cardiac Function Recovery,Anxiety and Depression of the Patients with Pulmonary Heart Disease
文章编号:
1004-6852(2018)12-0134-04
作者:
瞿兴芹，周维华
南通大学附属海安医院呼吸内科，江苏 南通 226600
Author(s):
QU Xingqin, ZHOU Weihua
Respiratory Department, Haian Hospital Affiliated to Nantong University, Nantong 226600, China
关键词:
肺源性心脏病; 认知行为疗法; 心功能; 肺功能; 负性情绪
Keywords:
pulmonary heart disease;  cognitive behavior therapy;  cardiac function;  pulmonary function;  negative mood
分类号:
R541
摘要:
目的：探讨认知行为疗法应用于肺源性心脏病对患者心功能康复及焦虑抑郁情绪的影响。方法：以2013年12月至2014年12月收治的46例患者为对照组，给予常规护理；以2015年1月至2016年1月收治的46例患者为观察组，给予认知行为疗法。观察并记录2组干预前、干预后6个月心、肺功能和焦虑、抑郁情绪变化。结果：观察组干预后6个月6分钟步行试验、右心室射血分数（RVEF）水平高于对照组，脑尿钠肽（BNP）和肺动脉收缩压（PASP）水平低于对照组，差异有统计学意义(P＜0.05)；观察组干预后6个月肺活量（VC）、最大呼气中段流速（MMEF）、第一秒用力呼气量与用力肺活量比值(FEV1/FVC)和呼气峰值流速(PEF)水平均高于对照组，差异有统计学意义(P＜0.05)；观察组干预后6个月焦虑自评量表(SAS)与抑郁自评量表(SDS)积分低于对照组，差异有统计学意义(P＜0.05)。结论：认知行为疗法应用于肺源性心脏病具有较高临床价值，可有效改善心功能和肺功能，缓解焦虑、抑郁情绪。
Abstract:
Objective：To explore the effects of cognitive behavior therapy on cardiac function recovery, anxiety and depression of the patients suffering pulmonary heart disease. Methods: Forty-six patients who were hospitalized from December, 2013 to December, 2014 were chosen as the control group, and they accepted conventional nursing; another 46 patients hospitalized from January, 2015 to January, 2016 were taken as the observation group, and they were given cognitive behavior therapy. The changes of anxiety and depression, cardiac and pulmonary functions of both groups were observed and recorded before the intervention and in six months after the intervention. Results: The observation group was higher than the control group in the level of right ventricular ejection fraction (RVEF) and six-minute walking test in six months after the intervention, lower than the control group in the levels of brain urine natriuretic peptide (BNP) and pulmonary arterial systolic pressure (PASP), and the difference had statistical meaning (P＜0.05); the observation group was higher than the control group in the levels of vital capacity(VC), maximum mid-expiratory flow rate (MMEF), forced expiratory volume in first second/forced vital capacity(FEV1/FVC) and peak expiratory flow rate (PEF)in six months after the intervention, and the difference was statistically significant(P＜0.05); SAS and SDS of the observation group were lower than these of the control group in six months after the intervention, and there were the significant differences(P＜0.05). Conclusion: Cognitive behavior therapy possesses higher clinical value when it was applied to pulmonary heart disease, it could effectively improve cardiac and pulmonary functions, relieve anxiety and depression.

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[1]张 凯,申春悌.结构方程在肺源性心脏病中医证候分类中的临床研究*[J].西部中医药,2014,27(05):74.
　ZHANG Kai,SHEN Chunti.Clinical Study of Structural Equations in the Classifications of TCM Syndromes for Chronic Pulmonary Heart Disease[J].Western Journal of Traditional Chinese Medicine,2014,27(12):74.
[2]杨勋,陈永华,宗芳.平喘固本汤合补肺汤对肺源性心脏病患者肺功能、血气指标及炎性因子水平的影响[J].西部中医药,2023,36(08):82.[doi:10.12174/j.issn.2096-9600.2023.08.20]
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备注/Memo

备注/Memo:
收稿日期：2018-05-10 *基金项目：南通市市级科技计划(指导性)立项项目(编号HS149157)。 作者简介：瞿兴芹(1986—)，女，护师。研究方向：呼吸内科疾病的临床护理。
更新日期/Last Update: 2018-12-15