绘画疗法对老年冠心病病人希望水平与自护能力的影响
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摘要
目的探讨绘画疗法对康复时期老年冠心病病人希望水平与自护能力的影响。方法选取2015年9月至2017年11月于我院接受治疗的112例老年冠心病病人为研究对象,按照随机数字表法将老年病人随机分成2组,每组各56例。对照组采取常规护理干预,观察组在常规护理干预的基础上给予3周的绘画课程,分别测定干预前以及干预后1周2组病人的焦虑积分,并对病人护理干预后的希望水平和自护能力进行评价。结果干预后对照组的焦虑情绪评分为(65. 68±2. 15)分,观察组为(46. 87±2. 69)分,2组比较差异具有统计学意义(P<0. 05)。干预后观察组病人希望水平总评分为(43. 76±2. 69)分,对照组为(36. 36±2. 84)分,2组比较差异具有统计学意义(P<0. 05)。干预后观察组病人自护能力总分为(121. 53±25. 69)分,对照组为(114. 98±21. 97)分,2组比较差异具有统计学意义(P<0. 05)。结论冠心病病人康复时期的护理过程中采用绘画疗法可以缓解病人的焦虑情绪和抑郁情绪,提高病人的希望水平、自护能力,从而提高病人的生存质量。
Objective To explore the influence of painting therapy on the hope level and self-care ability of the elderly patients with coronary heart disease during rehabilitation. Methods A total of112 elderly patients with coronary heart disease who were treated in our hospital from September 2015 to November 2017 were enrolled. The elderly patients were randomly divided into two groups according to the random number table method,with 56 cases in each group. The patients in the control group were treated with routine nursing intervention. The patients in the observation group were given a three-week painting course on the basis of routine nursing intervention. The anxiety scores of the two groups before and after the intervention were measured,and the hope level and self-care ability after the patient's nursing intervention were evaluated. Results After the intervention,the anxiety score in the control group was 65. 68 ± 2. 15,compared with 46. 87 ± 1. 58 in the observation group( P< 0. 05). After the intervention,the overall score of hope level in the observation group was 43. 76 ± 2. 69,compared with36. 36±2. 84 in the control group( P< 0. 05). After intervention,the total self-protection ability in the observation group was 121. 53±25. 69,compared with 114. 98±21. 97 in the control group( P<0. 05).Conclusions Painting therapy in the nursing process of patients with coronary heart disease can alleviate the anxiety and depression of the patients,improve the patient's hope level,self-care ability,and improve the quality of life.
Objective To explore the influence of painting therapy on the hope level and self-care ability of the elderly patients with coronary heart disease during rehabilitation. Methods A total of112 elderly patients with coronary heart disease who were treated in our hospital from September 2015 to November 2017 were enrolled. The elderly patients were randomly divided into two groups according to the random number table method,with 56 cases in each group. The patients in the control group were treated with routine nursing intervention. The patients in the observation group were given a three-week painting course on the basis of routine nursing intervention. The anxiety scores of the two groups before and after the intervention were measured,and the hope level and self-care ability after the patient's nursing intervention were evaluated. Results After the intervention,the anxiety score in the control group was 65. 68 ± 2. 15,compared with 46. 87 ± 1. 58 in the observation group( P< 0. 05). After the intervention,the overall score of hope level in the observation group was 43. 76 ± 2. 69,compared with36. 36±2. 84 in the control group( P< 0. 05). After intervention,the total self-protection ability in the observation group was 121. 53±25. 69,compared with 114. 98±21. 97 in the control group( P<0. 05).Conclusions Painting therapy in the nursing process of patients with coronary heart disease can alleviate the anxiety and depression of the patients,improve the patient's hope level,self-care ability,and improve the quality of life.
引文
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[13]周月英,吕兰竹,梁叶青,等.绘画治疗对中年男性冠心病患者康复作用的研究[J].中国全科医学,2017,20(22):2806-2810.
[2]夏国宏,郑争达,杨海燕.动态心电图检查老年冠心病心肌缺血和心律失常临床价值分析[J].医学影像学杂志,2016,26(2):354-356.
[3] Heran BS,Chen JM,Ebrahim S,et al. Exercise-based cardiac rehabilitation for coronary heart disease[J]. Am Fam Physician,2016,67(1):11-12.
[4]彭昕,陈杰,黄莉,等.绘画疗法对乳腺癌化疗患者影响的研究[J].中华护理杂志,2017,16(10):1200-1203.
[5] Krz M,Didwiszus A,Gelin-Krz B,et al. Reliability of the inner correspondence and harmony questionnaire with painting therapy(ICPTh)[J]. Eur J Integr Med,2016,8(20):30.
[6]戴晓阳.常用心理评估量表手册[M].北京:人民军医出版社,2010.
[7]王艳华.中文版Herth希望量表用于癌症病人的可行性研究[J].护理研究,2010,24(1):20-21.
[8]郭丽娜,刘堃,郭启云,等.中文版老年人自我护理能力量表的信效度研究[J].中华护理杂志,2015,50(8):1009-1013.
[9] Tada H,Melander O,Louie JZ,et al. Risk prediction by genetic risk scores for coronary heart disease is independent of self-reported family history[J]. Eur Heart J,2016,37(6):561-567.
[10] Dinicolantonio JJ,Lucan SC,O'Keefe JH. The evidence for saturated fat and for sugar related to coronary heart disease[J]. Prog Cardiovasc Dis,2016,58(5):464-472.
[11]陈冉,蔡佳佳,王宁,等.辅助绘画疗法对精神分裂症患者执行功能及绘画特征的影响[J].河北医科大学学报,2017,38(4):419-422.
[12]陆汪洋,崔妙玲.慢性非恶性疾病病人希望水平的研究进展[J].护理研究,2016,30(4):389-392.
[13]周月英,吕兰竹,梁叶青,等.绘画治疗对中年男性冠心病患者康复作用的研究[J].中国全科医学,2017,20(22):2806-2810.