| ObjectiveTo observe the effect of nine turns of life extension method combined with inverse breathing training on constipation related symptoms,anxiety and sleep quality in elderly coronary heart disease patients with constipation,and to evaluate the effectiveness of nine turns of life extension method combined with inverse breathing training,so as to explore a more convenient and effective method for clinical nursing of elderly coronary heart disease patients with constipation.MethodsAccording to the principle of simple random distribution,a total of 70 elderly patients with coronary heart disease and constipation who met the inclusion and exclusion criteria of this study were selected from cardiovascular center of a Class ill Grade A hospital in Lanzhou,Gansu Province.The control group was given routine nursing,and the experimental group was given nine-turn method combined with inverse breathing training on the basis of routine nursing measures.The general data of the subjects were collected at the time of enrollment.The constipation symptom checklist and Bristol stool Trait scale were filled in by the subjects to evaluate the constipation of the patients.The constipation quality of life scale was used to evaluate the quality of life of the research objects.Self-rating anxiety Scale was used to evaluate the anxiety status of subjects.Pittsburgh sleep quality index(PSQI)was used to evaluate the sleep quality of patients,and the curative effect was evaluated after the intervention.After the completion of the collection,the data were entered into the Excel database,and SPSS26.0 software was used for statistical analysis.Results1.A total of 70 subjects were enrolled in the study.One case dropped out of the control group,and 67 cases were finally included in the study.There were no significant differences in general data,course of coronary heart disease,course of constipation,past medical history and constipation related influencing factors between the two groups before intervention,indicating that the two groups were comparable.2.Comparison of PAC-SYM scores: there was no significant difference in the scores of PAC-SYM between the two groups before enrollment(P>0.05),which was comparable between the two groups.After 3 days of intervention,there was statistically significant difference in the total score of symptom checklist of patients with constipation between the two groups(P<0.05).There was no statistically significant difference in the score of fecal symptoms in the three dimensions between the two groups(P>0.05),and there were statistically significant differences in rectal symptoms and abdominal symptoms between the two groups(P<0.05).After 10 days of intervention,there was statistically significant difference in the total score of constipation symptom checklist between the two groups(P<0.05).There were statistically significant differences in the three dimensions of fecal symptoms,rectal symptoms and abdominal symptoms between the two groups(P<0.05).There were statistically significant differences in the two groups before and after intervention(P<0.05).Repeated measures analysis of variance showed that there were time effects and interaction effects between the two groups.3.Bristol stool score: there was no significant difference in Bristol stool score between the two groups before enrollment(P>0.05),and the two groups were comparable.After 3days of intervention,there was statistically significant difference in Bristol stool score between the two groups(P<0.05),and there was statistically significant difference in the comparison between the two groups before and after intervention(P<0.05).After 10 days of intervention,there were statistically significant differences in Bristol stool scores between the two groups(P<0.05),and there were statistically significant differences in intra-group comparison between the two groups before and after intervention(P<0.05).Repeated measurement analysis of variance showed that there were time effects and interaction effects between the two groups.4.Self-rating anxiety Scale(SAS): there was no significant difference in SAS scores between the two groups before enrollment(P>0.05),which was comparable between the two groups.There was statistically significant difference in SAS scores between the two groups after 10 days of intervention(P<0.05).There was no significant difference in the SAS score of the control group before and after intervention(P>0.05),while there was significant difference in the SAS score of the experimental group before and after intervention(P<0.05).5.Comparison of Pittsburgh sleep Quality Index: there was no significant difference in PSQI results between the two groups before enrollment(P>0.05),which was comparable between the two groups.After 10 days of intervention,there were statistically significant differences in PSQI dimensions and total scores between the two groups(P<0.05).In the control group,there were no statistically significant differences in sleep onset time,sleep efficiency,sleep disturbance,daytime dysfunction and total score of PSQI before and after intervention(P>0.05),but there were statistically significant differences in sleep quality score and sleep time score(P<0.05).There were statistically significant differences in PSQI scores in each dimension of the experimental group(P<0.05).6.Comparison of PAC-QOL scores: there was no significant difference in PAC-QOL scores between the two groups before the intervention(P>0.05),which was comparable between the two groups.There was statistically significant difference in PAC-QOL scores between the two groups after 10 days of intervention(P<0.05).After 10 days of intervention,there were statistically significant differences in physiology,satisfaction and total scores of the control group(P<0.05),but there was no statistically significant difference in social psychology and worry status(P>0.05).After 10 days of intervention,there were statistically significant differences in the scores of each dimension in the experimental group(P<0.05).7.Efficacy evaluation: the total effective rate of the control group and the experimental group was 82% and 96%,respectively.The total effective rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).ConclusionThe results of this study show that the nine-turn method of Yanyannian combined with inverse breathing training can effectively improve the symptoms of constipation in elderly coronary heart disease patients with constipation,reduce the negative emotions such as anxiety,and improve the quality of sleep of patients,the quality of life of patients. |
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