不同气功功法对心功能三级患者心理影响的康复疗效观察
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摘要
目的了解心功能三级患者的人格特征,分析不同气功功法对心功能三级患者心理影响的临床康复疗效,为临床心脏康复治疗提供科学依据。方法采用随机平行对照研究方法,将160名患者分为动功治疗组(40例)、静功治疗组(40例)、动静治疗组(40例)及常规康复治疗组(40例),于康复治疗前和康复治疗6周后采集数据,对各组的MMPI临床量表评分进行比较。结果①练功6周后静功组与对照组相比Si有显著差异(P<0.05),静功组优于对照组;②动静组练功6周后Pd、Pt、Sc与练功前相比均有显著改善(P<0.05);③静功组练功6周后Hy、Pd、Pa与练功前相比均有显著改善(P<0.05);④动功组练功6周后组内比较无显著差异(P>0.05);⑤对照组练功6周后Pd、Sc与练功前相比均有显著改善(P<0.05)。结论不同气功功法对心功能三级患者的心理康复治疗具有一定临床疗效。
Objective To understand the personality characteristics of patients with coronary heart disease and analyze the clinical rehabilitation effects of different Qigong exercises on the psychological effects of patients with coronary heart disease,so as to provide scientific basis for clinical cardiac rehabilitation treatment.Methods A randomized parallel controlled study was used and 160 patients were divided into a dynamic energy treatment group(40),a static energy treatment group(40),a dynamic and static treatment group(40)and a conventional rehabilitation treatment group(40)before rehabilitation treatment.Six weeks after the rehabilitation treatment,data were collected and the MMPI clinical scale scores of each group were compared.Results ① After 6 weeks of exercise,there was significant difference in Si between the static group and the control group(P<0.05).The static group was better than that of the control group; ② Pd,Pt,Sc were compared with those before exercise in the 6 weeks of exercise performance.Significant improvement(P<0.05); ③Hydride,Pa,Pa after 6 weeks of exercise in the static group were significantly improved compared with before exercise(P<0.05); ④There was no significant difference in the group after 6 weeks of exercise.(P>0.05); ⑤ Pd and Sc were significantly improved in the control group after 6 weeks of exercise(P<0.05).Conclusion Different qigong exercises have certain clinical effects on psychological rehabilitation of patients with cardiac function.
Objective To understand the personality characteristics of patients with coronary heart disease and analyze the clinical rehabilitation effects of different Qigong exercises on the psychological effects of patients with coronary heart disease,so as to provide scientific basis for clinical cardiac rehabilitation treatment.Methods A randomized parallel controlled study was used and 160 patients were divided into a dynamic energy treatment group(40),a static energy treatment group(40),a dynamic and static treatment group(40)and a conventional rehabilitation treatment group(40)before rehabilitation treatment.Six weeks after the rehabilitation treatment,data were collected and the MMPI clinical scale scores of each group were compared.Results ① After 6 weeks of exercise,there was significant difference in Si between the static group and the control group(P<0.05).The static group was better than that of the control group; ② Pd,Pt,Sc were compared with those before exercise in the 6 weeks of exercise performance.Significant improvement(P<0.05); ③Hydride,Pa,Pa after 6 weeks of exercise in the static group were significantly improved compared with before exercise(P<0.05); ④There was no significant difference in the group after 6 weeks of exercise.(P>0.05); ⑤ Pd and Sc were significantly improved in the control group after 6 weeks of exercise(P<0.05).Conclusion Different qigong exercises have certain clinical effects on psychological rehabilitation of patients with cardiac function.
引文
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11 蔡琳坡.健身气功·五禽戏健身功效国内研究进展[J].武术研究,2016,13(12):93-96.
12 陈宁红.静功修炼对防治疾病的重要作用[J].中国医药导报,2007,4(36):129-130.[万方].
13 Yu WL,Li XQ,Tang WJ,et al.fMRI Study of Pain Reaction in the Brain under State of “Qigong”[J].Am J Chin Med,2007,35(6):937-945.
14 章琪虎,瞿敏红,沈仲元,等.气功练功者的明尼苏达多项个性测试(MMPI)结果分析[J].上海中医药杂志,2000,34(1):44-45.
2 Menezes AR,Lavie CJ,Milani RV,et al.Psychological risk factors and cardiovascular disease:Is it all in your head?[J].Postgrad Med,2011,123(5):165-176.
3 Linden W,Phillips MJ,Leclerc J.Psychological treatment of cardiac patients:A meta-analysis[J].Eur Heart J,2007,28(24):2972-2984.
4 Milani RV,Lavie CJ,Mehra MR,et al.Impact of exercise training and depression on survival in heart failure due to coronary heart disease[J].Am J Cardiol,2011,107(1):64-68.
5 包艳,钟美容,潘晓日,等.循证护理干预对冠心病介入治疗腹胀及抑郁的效果分析[J].广西医学,2014,36(10):1496-1497.
6 李晓燕.心理护理在中青年冠心病并发抑郁情绪患者中的应用[J].齐鲁护理杂志,2014,20(9):23-24.
7 彭丽容,彭思萍.心理护理在冠心病合并焦虑症患者中的应用[J].齐鲁护理杂志,2014,20(7):26-28.
8 马跃文,刘畅,朱佳琪,等.心脏康复促进冠状动脉搭桥术后患者体能恢复及不良情绪改善[J].中国动脉硬化杂志,2012,20(6):536-540.
9 彭雯,成蓓,杨彬,等.有氧训练对猪慢性冠状动脉狭窄后内皮细胞介导的侧支循环依赖血管扩张的影响[J].中华物理医学与康复杂志,2003,25(9):527-529.
10 石晓明,蒋戈利,刘文红,等.八段锦对冠心病患者心脏康复过程心肺功能的影响[J].解放军医药杂志,2017,29(2):24-27.
11 蔡琳坡.健身气功·五禽戏健身功效国内研究进展[J].武术研究,2016,13(12):93-96.
12 陈宁红.静功修炼对防治疾病的重要作用[J].中国医药导报,2007,4(36):129-130.[万方].
13 Yu WL,Li XQ,Tang WJ,et al.fMRI Study of Pain Reaction in the Brain under State of “Qigong”[J].Am J Chin Med,2007,35(6):937-945.
14 章琪虎,瞿敏红,沈仲元,等.气功练功者的明尼苏达多项个性测试(MMPI)结果分析[J].上海中医药杂志,2000,34(1):44-45.