| 陆晶晶,章丽燕,张学萍.正念行走对心房颤动患者焦虑抑郁及心肺功能的干预效果[J].浙江中西医结合杂志,2024,34(9): |
| 正念行走对心房颤动患者焦虑抑郁及心肺功能的干预效果 |
| Intervention effect of mindful walking on anxiety, depression and cardiopulmonary function in patients with atrial fibrillation |
| 投稿时间：2024-04-01 修订日期：2024-08-26 |
| DOI： |
| 中文关键词: 心房颤动 正念行走 焦虑 抑郁 心肺功能 |
| 英文关键词:Atrial Fibrillation Mindful Walking Anxiety Depression Cardiopulmonary Function |
| 基金项目:2023年度嘉兴市民生科技创新研究项目 编号2023AD31013 |
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| 中文摘要: |
| 目的 探究正念行走对心房颤动患者焦虑抑郁及心肺功能的干预效果。方法 采取便利取样法，选取2023年3月-2023年12月间本院收治的房颤患者78例，使用病区分组法，以二十三病区39例患者为观察组，二十四病区39例患者为对照组，对照组采用常规干预，观察组予常规干预+正念行走治疗，比较分析干预前后两组患者的焦虑和抑郁自评量表、五因素正念量表、6分钟步行试验情况。结果 干预前2组患者的SAS量表、SDS量表评分无明显差异（P＞0.05），干预1个月、2个月、3个月观察组患者的SAS量表和SDS量表评分均显著低于对照组患者（P＜0.05）。比较FFMQ量表评分可见，干预前2组并无明显差异（P＞0.05），干预后1个月、2个月、3个月观察组患者显著高于对照组患者（P＜0.05）。干预前2组患者的6分钟步行距离和血氧饱和度下降分数差异不明显（P＞0.05），干预1个月、2个月、3个月6分钟步行距离观察组高于对照组（P＜0.05），血氧饱和度下降分数观察组低于对照组（P＜0.05）。结论 正念行走用于心房颤动的心脏康复治疗效果较好，有利于减轻患者的焦虑抑郁情绪，提高正念情绪，改善心肺功能，值得应用推广。 |
| 英文摘要: |
| Objective To explore the intervention effect of mindful walking on anxiety, depression and cardiopulmonary function in patients with atrial fibrillation. Methods A total of 78 patients with atrial fibrillation who admitted to our hospital from March 2023 to December 2023 were selected by convenient sampling method. 39 patients in ward 23 were selected as the observation group and 39 patients in ward 24 were selected as the control group by ward grouping method. The control group received conventional intervention, and the observation group received conventional intervention + mindful walking treatment. The self-rating scale of anxiety and depression, the five-factor mindfulness scale and the 6-minute walking test were compared and analyzed before and after the intervention. Results There were no significant difference in SAS scale and SDS scale scores between the two groups before intervention (P > 0.05), and the scores of SAS scale and SDS scale at 1, 2 and 3 months after intervention in the observation group were significantly lower than those in the control group (P < 0.05). Compared with FFMQ scale scores, There was no significant difference in FFMQ scale score between the two groups before intervention (P > 0.05), and the FFMQ scale score at 1, 2 and 3 months in the observation group was significantly higher than that in the control group (P < 0.05). Before intervention, there was no significant differences in the 6-minute walking distance and the decrease fraction of blood oxygen saturation between the two groups (P > 0.05). The 6-minute walking distance at 1, 2 and 3 months after intervention of the observation group was higher than that of the control group (P < 0.05), and the decrease fraction of blood oxygen saturation in the observation group was lower than that in the control group (P < 0.05). Conclusions Mindful walking has a good effect on the cardiac rehabilitation treatment of atrial fibrillation, which is conducive to reducing the anxiety and depression of patients, improving the mindful mood, and improving the cardiopulmonary function, which is worthy of application and promotion. |
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