Vilà R, Benedicto Mr, Pujadas C, Gómez M, Franzi A, Rodríguez L, Juncosa S
ABS Creu de Barberà, Sabadell, Barcelona, Spain.
Aten Primaria. 2005 Jun 30;36(2):78-84. doi: 10.1157/13076591.
To determine the effectiveness of a programme of relaxation used in primary care for patients with ischaemic cardiopathy (IC) through evaluation of the anxiety levels and the quality of life of these patients.
Controlled intervention study without randomisation.
Two primary care teams in the city of Sabadell.
Patients from 15 to 69 years old with IC: intervention group (IG), 57 patients; control group (CG), 47. Interventions. In the IG, conventional treatment and relaxation techniques (RT). In the CG, conventional treatment.
Degree of anxiety was measured by means of the STAI scale-questionnaire. Quality of life was measured by means of the SF-36 health questionnaire. Blood pressure and smoking were recorded.
At 12 months, 70% of patients practised relaxation at least for a short time. In the IG, anxiety dropped significantly at 3, 6, and 12 months, especially the anxiety characteristics scale, which was still significant at 12 months (P=.002). Quality of life at 3 and 6 months in the IG showed better scores in most dimensions except body pain. At 12 months, scores continued to be better than at the start (social function P=.012), except in the mental health dimension. No significant changes were found in blood pressure or tobacco consumption.
Our results suggest that an RT workshop in primary care is beneficial if correctly applied and leads to improved quality of life.
通过评估缺血性心脏病(IC)患者的焦虑水平和生活质量,确定在初级保健中使用的放松计划对这些患者的有效性。
非随机对照干预研究。
萨瓦德尔市的两个初级保健团队。
年龄在15至69岁之间的IC患者:干预组(IG),57例患者;对照组(CG),47例。干预措施。在IG组,采用常规治疗和放松技术(RT)。在CG组,采用常规治疗。
焦虑程度通过STAI量表问卷进行测量。生活质量通过SF - 36健康问卷进行测量。记录血压和吸烟情况。
在12个月时,70%的患者至少短时间内进行了放松练习。在IG组,焦虑在3个月、6个月和12个月时显著下降,尤其是焦虑特质量表,在12个月时仍有显著差异(P = 0.002)。IG组在3个月和6个月时的生活质量在除身体疼痛外的大多数维度上得分更高。在12个月时,除心理健康维度外,得分继续优于开始时(社会功能P = 0.012)。血压或烟草消费未发现显著变化。
我们的结果表明,在初级保健中正确应用RT工作坊是有益的,并能改善生活质量。