| 王君菊,马月珍,赵桂华,曹芳真,孙桂君.正念减压疗法联合心肺功能康复训练对慢性心衰患者运动耐力、心肺功能及心理应激的影响[J].,2024,(19):3673-3675 |
| 正念减压疗法联合心肺功能康复训练对慢性心衰患者运动耐力、心肺功能及心理应激的影响 |
| Effects of Mindfulness-Based Stress Reduction Combined with Cardiopulmonary Rehabilitation Training on Exercise Endurance, Cardiopulmonary Function and Psychological Stress in Patients with Chronic Heart Failure |
| 投稿时间：2024-04-18 修订日期：2024-05-06 |
| DOI：10.13241/j.cnki.pmb.2024.19.018 |
| 中文关键词: 慢性心力衰竭 正念减压疗法 心肺功能康复训练 运动耐力 心肺功能 心理应激 |
| 英文关键词: Chronic heart failure Mindfulness-based stress reduction Cardiopulmonary function rehabilitation training Exercise endurance Cardiopulmonary function Psychological stress |
| 基金项目:山东省基层卫生协会2022年基层卫生科技创新计划项目（JCK22014） |
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| 中文摘要: |
| 摘要 目的：探究正念减压疗法（MBSR）联合心肺功能康复训练对慢性心力衰竭（心衰）患者运动耐力、心肺功能及心理应激的影响。方法：132例慢性心衰患者经随机数表法将其分为研究组（给予MBSR联合心肺功能康复训练，66例）与对照组（行常规心肺康复训练，66例），均干预6周。对比两组患者的运动耐力[6 min步行试验（6MWT）]、心肺运动试验（CPET）及心理应激相关指标[汉密尔顿抑郁量表（HAMD）、汉密尔顿焦虑量表（HAMA）、自我感受负担量表（SPBS）]。结果：干预后，两组患者6MWT比干预前均上升，且研究组明显高于对照组（P<0.05）。干预后，两组患者CPET所测无氧阀（AT）、最大摄氧量（VO2max）、峰氧脉搏（O2pulse）、最大通风量（MVV）比干预前均上升且研究组高于对照组（P<0.05）。干预后，两组患者HAMD、HAMA、SPBS评分比干预前均下降，且研究组均明显低于对照组（P<0.05）。结论：MBSR联合心肺功能康复训练干预能明显改善慢性心衰患者运动耐力及心肺功能，减轻患者心理应激，值得临床借鉴应用。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effects of mindfulness-based stress reduction (MBSR) combined with cardiopulmonary rehabilitation training on exercise endurance, cardiopulmonary function and psychological stress in patients with chronic heart failure. Methods: A total of 132 patients with chronic heart failure were divided into the study group (66 cases received MBSR combined with cardiopulmonary rehabilitation training) and the control group (66 cases received routine cardiopulmonary rehabilitation training), and they were intervened for 6 weeks.exercise endurance [6 min walk test (6 MWT)], cardiopulmonary exercise test (CPET) and psychological stress related index [Hamilton depression rating scale(HAMD), Hamilton Anxiety Scale(HAMA), Self-perceived Burden Scale (SPBS)] of patients in the two groups were compared. Results: Post-intervention, the 6 MWT of the two groups was higher than that pre-intervention, and that of the study group was significantly higher than that of the control group(P<0.05). Post-intervention, the anaerobic threshold (AT), maximal oxygen volume (VO2max), peak oxygen pulse (O2pulse) and maximal ventilation volume (MVV) measured by CPET in the two groups increased compared those pre-intervention, and those in the study group were higher than those in the control group(P<0.05). Post-intervention, the scores of HAMD, HAMA and SPBS in the two groups were lower than those pre-intervention, and those in the study group were significantly lower than the control group(P<0.05). Conclusion: MBSR combined with cardiopulmonary function rehabilitation training intervention can significantly improve the exercise endurance and cardiopulmonary function of patients with chronic heart failure, and reduce the psychological stress of patients, which is worthy of clinical reference and application. |
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