渐进性肌肉放松训练对急性心肌梗死病人焦虑状态的影响

为了确定渐进性肌肉放松对急性心肌梗死患者焦虑情绪是否有缓解作用,本研究选取2016年4月至2019年4月期间在曲靖市第一人民医院心内科治疗的患者274例作为研究对象,随机分为对照组和观察组,每组137例,平均年龄(53.27±10.3)岁。对照组在治疗期间给予常规护理,而观察组在常规护理的基础上给予渐进性肌肉放松治疗。放松治疗每天2次,每次10组,一周4天,共治疗4周。分别于患者入院48 h和治疗后1个月对患者的血压、心率、并发症以及焦虑水平进行记录评估。研究显示,入院治疗1个月后,患者的血压、心率均有所下降,但无统计学差异;相较于对照组,观察组的并发症发病患者均明显下降(p<0.05);此外,患者入院时均有不同程度的焦虑情绪,经过一个月的治疗后患者的焦虑评分均明显下降,且在观察组中焦虑得分更显著低于对照组(p<0.05)。本实验在较大的临床样本中证实渐进性肌肉放松训练能明显降低患者的焦虑情绪并有助于降低患者并发症,能在治疗急性心肌梗死患者时提供较大帮助,为临床应用放松训练辅助治疗心肌梗死提供了较为可靠的实验证据,有重要的实用价值。

Effects of Progressive Muscle Relaxation on Anxiety State in Acute Myocardial Infarction Patients

In order to determine whether progressive muscle relaxation can alleviate anxiety in patients with acute myocardial infarction(AMI).In this study,274 patients treated in the department of cardiology of Qujing First People's Hospital from April 2016 to April 2019 were selected as subjects.All the participates,(53.27±10.3)yearold,were randomly divided into control group and observation group,137 cases for each group.The control group was treated with routine nursing care,and the observation group was treated with progressive muscle relaxation therapy.Progressive muscle relaxation therapy was carried twice per day for 10 units each time,and this treatment consisted for 4 weeks with 4 days every week.Patient's blood pressure,heart rate,complications and anxiety level were evaluated within 48 h and 1 month after treatment.As the results shown,one month later,the patient's blood pressure and heart rate were decreased,but there was no statistical difference.Compared with the control group,patients with complications incidence in observation group were significantly decreased(p<0.05).In addition,patients had different degrees of anxiety when they were admitted to hospital.After a month therapy,anxiety scores of patients were significantly decreased,and the anxiety scores in the observation group was more significantly lower than the control group(p<0.05).Progressive muscle relaxation training was identified obviously reduce the patient's anxiety and help to reduce complications of patients in larger clinical samples.This project provided reliable experimental evidence of clinical application of relaxation training applied in acute myocardial infarction anxiety treatment,which has an important practical value for progressive muscle relaxation application as an effective assistant strategy.