中国全科医学2017，Vol.20Issue(22)：2806-2810,5.DOI:10.3969/j.issn.1007-9572.2017.22.024
绘画治疗对中年男性冠心病患者康复作用的研究
Therapeutic Effect of Art Therapy on Middle-aged Male Patients with Coronary Heart Disease
摘要
Abstract
Objective To evaluate therapeutic effect of art therapy on middle-aged male patients with coronary heart disease.Methods The enrolled participants were 78 male patients aged 40-59 years with coronary heart disease who received outpatient or inpatient treatment in Shunde District Guizhou Hospital from January 2015 to January 2016.They were randomized to the observation group(n=39) receiving the standardized drug therapy combined with group and/or one-to-one art therapy,and the control group(n=39) receiving the standardized drug therapy only.Both groups were intervened for 6 months.Before and after rehabilitation,all the patients underwent echocardiography for observing the parameters of left ventricular end diastolic diameter(LVDD) and left ventricular ejection fraction(LVEF),carotid color Doppler ultrasound for observing the carotid intima-media thickness (IMT),and quality of life assessment by completing the 36-Item Short Form Health Survey(SF-36),Seattle Angina Questionnaire (SAQ) and Quality of Life after Myocardial Infarction Questionnaire (QLMI).Results Before treatment,two groups had no significant differences in the total scores of SF-36 and scores of its sections of physical functioning and mental health(P>0.05),but after treatment,the total scores of SF-36 and scores of its sections were all higher in the observation group than in the control group(P<0.05).Before treatment,the total scores of SAQ and scores of its five scales(physical limitation,angina stability,angina frequency,treatment satisfaction,and quality of life) did not differ significantly between the two groups(P>0.05),but after treatment,they were all much higher in the observation group than in the control group(P<0.05).Before treatment,the total scores of QLMI and scores of its five domains(symptoms,restrictions,confidence,self-esteem and emotion) were similar in both groups(P>0.05),but after treatment,all of them were much higher in the observation group than in the control group(P<0.05).The values of LVDd,LVEF and IMT demonstrated no differences between the two groups before and after treatment(P>0.05).Conclusion For patients with coronary heart disease,standardized drug therapy combined with art therapy can significantly improve the overall status of health,stabilize angina pectoris and reduce the frequency of angina attacks,enhance the awareness of coronary heart disease,advance the satisfaction with treatment as well as self-confidence and self-esteem.关键词
绘画治疗/冠心病/康复Key words
Art therapy/Coronary disease/Rehabilitation分类
医药卫生引用本文复制引用
周月英,吕兰竹,梁叶青,李景珊,曾汇庆,黄新金,伍焕平..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):2806-2810,5.基金项目
佛山市医学类科技攻关项目(2015AB001973) （2015AB001973）
