摘要
Abstract
Objective:To analyze the influence of mindfulness-based cognitive therapy on elderly patients with chronic heart failure and frailty.Method:A total of 149 elderly patients with chronic heart failure and frailty treated in the Third Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine from January 2022 to June 2023 were selected as the study objects,and randomly divided into control group(n=74)and treatment group(n=75).The control group received routine care,and the treatment group received mindfulness-based cognitive therapy on the basis of the control group.Nursing satisfaction,heart function,mental state and quality of life were compared between the two groups.Result:The total effective rate of the treatment group was 96.00%,which was higher than 81.08%of the control group,the difference was statistically significant(P<0.05).After intervention,left ventricular end-systolic diameter(LVESD),left ventricular end-diastolic diameter(LVEDD)and left atrial diameter(LAD)in both groups were lower than those before intervention,left ventricular ejection fraction(LVEF)were higher than those before intervention,and LVESD,LVEDD and LAD in treatment group were lower than those in control group,LVEF was higher than that in control group,the differences were statistically significant(P<0.05).After intervention,the scores of the MOS item short form health survey(SF-36)in both groups were higher than those before intervention,and those in the treatment group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)in both groups were lower than those before intervention,and those in the treatment group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Mindfulness-based cognitive therapy has a significant effect on elderly patients with chronic heart failure and frailty,which is helpful to improve mental state,heart function and quality of life.关键词
正念认知疗法/慢性心理衰竭/衰弱/心理/心功能Key words
Mindfulness-based cognitive therapy/Chronic psychological exhaustion/Frailty/Psychology/Cardiac function
