中国全科医学2017，Vol.20Issue(26)：3221-3225,5.DOI:10.3969/j.issn.1007-9572.2017.00.015
松弛疗法对埋藏式心律转复除颤器放电后继发情绪紊乱患者起搏器事件及情绪紊乱的干预效果研究
Effect of Relaxation Therapy on the Frequency of Pacemaker Adverse Events and Mental Conditions in Patients with Mental Disorders Following Implantable Cardioverter-defibrillator Discharges
摘要
Abstract
Objective To investigate the effect of relaxation therapy on the frequency of pacemaker adverse events and mental conditions in patients with mental disorders following implantable cardioverter-defibrillator (ICD) discharges.Methods We enrolled 60 patients (26 males and 34 females) who received inpatient or outpatient treatment in Department of Cardiology and follow-up services delivered by ICD treatment,First Affiliated Hospital of Kunming Medical University,from June and November 2015 and randomized them into the experimental group and control group with 30 (13 males and 17 females) in each based on the male to female ratio.Both groups received conventional drug therapy,the experimental group additionally received relaxation therapy for 6 monthes,including muscle relaxation training,imagination relaxation training,deep breathing relaxation training,silent relaxation training,twice daily,30 min per time.The number of pacemaker adverse events occurred in the 6-month period before and during the intervention were recorded using the Patient-Triggered Event Records (PTER).Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were filled before and after the intervention for assessing the mental disorders and intervention effect.Results During the intervention period,3 and 2 cases dropped out of the control group and the experimental group,respectively.The number of pacemaker adverse events occurred in the control group during the 6-month period before the intervention was not significantly different from that occurred during the intervention period (Z =-0.472,P =0.637).However,in the experimental group,the number of pacemaker adverse events occurred during the intervention period was less than that occurred in the 6-month period before the intervention (Z =-3.172,P =0.002).The reduced number of pacemaker adverse events occurring in the 6-month period before and during the intervention period was more in the experimental group than that in the control group (Z =-2.475,P =0.013).After intervention,the degree of mental disorders was milder in the experimental group than in the control group,indicating better intervention effect was achieved in the experimental group (P ＜ 0.05).The intervention effect was negatively correlated with the number of pacemaker adverse events in the experimental group (rs =-0.702,P ＜ 0.001).Conclusion Relaxation therapy can reduce the number of pacemaker adverse events occurred in patients with secondary mental disorders after ICD discharges and improve their mental conditions.关键词
心律失常/松弛疗法/除颤器,植入型/起搏器事件/情绪障碍Key words
Arrhythmia/Relaxation therapy/Defibrillators,implantable/Pacemaker adverse event/Mental disorders分类
医药卫生引用本文复制引用
柳唯意,余琳娜,华宝桐,景盼,蒲里津..松弛疗法对埋藏式心律转复除颤器放电后继发情绪紊乱患者起搏器事件及情绪紊乱的干预效果研究[J].中国全科医学,2017,20(26):3221-3225,5.基金项目
国家自然科学基金资助项目(81360044) （81360044）
云南省科技厅-昆明医科大学联合专项基金(2013FB133) （2013FB133）
