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正念认知疗法对冠心病患者焦虑抑郁、心功能及生活质量的影响研究
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Abstract:
目的：本研究旨在探讨正念认知疗法对冠心病患者焦虑抑郁、心功能及生活质量的影响。方法：选取2023年1月20日~2023年12月20日我院收治的80名确诊的冠心病合并焦虑抑郁的患者为研究对象，按照随机数字表法将患者分为实验组和对照组各40例。对照组给予冠心病常规治疗 健康宣教，实验组在对照组的治疗基础上 正念认知疗法进行心理干预，比较两组患者干预前后的焦虑抑郁水平、生活质量、心功能指标情况。结果：干预后，实验组焦虑抑郁得分低于对照组(P < 0.05)，生活质量得分高于对照组(P < 0.05)，心功能指标的乳酸脱氢酶、肌酸激酶、肌酸激酶同工酶、肌红蛋白、肌钙蛋白、B型钠尿肽低于对照组(P < 0.05)。结论：正念认知疗法能够有效的改善冠心病合并焦虑抑郁患者的心理状态、提高其生活质量，有效促进冠心病合并焦虑抑郁患者的心功能恢复。
Objective: The present research explored the effect of mindfulness-based cognitive therapy on anxiety, depression, heart function and quality of life in patients with coronary heart disease. Method: Eighty patients diagnosed with coronary heart disease combined with anxiety and depression admitted to our hospital from January 20, 2023 to December 20, 2023 were selected as the study objects, and were divided into the experimental group and the control group with 40 cases in each group according to random number table method. The control group was given routine treatment of coronary heart disease health education, and the experimental group received psychological intervention based on the treatment of the control group mindfulness cognitive therapy. The anxiety and depression level, quality of life and cardiac function indexes of the two groups were compared before and after the intervention. Results: After the intervention, the anxiety and depression scores of the experimental group were lower than those of the control group (P < 0.05), quality of life score was higher than control group (P < 0.05), the levels of lactate dehydrogenase, creatine kinase, creatine kinase isoenzyme, myoglobin, troponin and B-type natriuretic peptide were lower than those of control group (P < 0.05). Conclusion: Mindfulness-based cognitive therapy can effectively improve the psychological state and quality of life of patients with coronary heart disease combined with anxiety and depression, and effectively promote the recovery of heart function in patients with coronary heart disease combined with anxiety and depression.
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