| 摘要: |
| 目的探讨心理护理干预对急性心肌梗死患者的不良情绪及心理状态的影响,为临床急性心肌梗死患者的护理工作提供实践依据。方法选择从2013年5月至2015年5月期间我院心血管科收治的160例急性心肌梗死患者。将所有患者随机分为试验组和对照组,每组各80例。对照组患者接受常规护理治疗,观察组患者在对照组的基础上辅以心理护理干预。连续治疗1个月后对患者进行随访,对两组患者的临床治疗效果、心理状态、生存质量、焦虑抑郁程度等指标进行比较观察。结果经1个月不同方案护理后,观察组心律失常、心绞痛、心力衰竭发生率显著低于对照组,差异有统计学意义(P<0.05);且观察组患者平均住院时长明显低于对照组,差异有统计学意义(P<0.01)。不同护理方案进行精心干预后,观察组躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执和精神病性等各项指标明显低于对照组,差异有统计学意义(P<0.05)。护理前,观察组和对照组生存质量评分差异无统计学意义(t=0.726,P>0.05)。与对照组相比,观察组行心理护理干预后患者生活质量评分明显高于对照组,差异有统计学意义(t=41.898,P<0.01)。护理前,观察组和对照组SAS和SDS评分比较无明显差异,SAS(t=0.312,P>0.05),SDS(t=0.867,P>0.05)。护理后,观察组评分显著低于对照组,组间比较差异有统计学意义,SAS(t=11.700,P<0.01),SDS(t=10.816,P<0.01)。结论针对急性心肌梗死患者采用心理护理进行精心护理干预,能够明显缓解患者焦虑、抑郁等不良情绪并缩短住院时间,改善患者心理状态,同时提高患者的生活质量,增强患者的自信心,从而提高治疗依从性,临床上值得推广。 |
| 关键词: 心理护理 急性心肌梗死 不良情绪 心理状态 |
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| The Influence of Psychological Nursing Intervention on the Adverse Emotions and Psychological Status of Patients with Acute Myocardial Infarction |
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Wu Haiyan;Pan Yuanyuan;Wu Hongying
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Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital
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| Abstract: |
| Objective To explore the influence of psychological nursing intervention on the adverse emotion and mental state of patients with acute myocardial infarction(AMI),and to provide practical basis for the nursing work of AMI patients.Methods 160 cases of patients with AMI selected from our hospital from May 2013 to May 2015 were randomly divided into experimental group(n = 80) and control group(n = 80). The control group was treated with regular nursing,on the basis of which psychological nursing intervention was added to comprise experimental treatment.The clinical treatment effect,psychological status,quality of life,anxiety and depression degree of the two groups were compared by doing follow-up after 1 month treatment.Results After 1 month nursing with different methods,the incidence of arrhythmia,angina pectoris and heart failure in the experimental group was significantly lower than those in the control group(P<0. 05),and the average length of stay in the experimental group was significantly lower than that in the control group(P<0. 01).The indexes of somatization,compulsion,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoia and psychosis were lower in the experimental group than those in the control group(P < 0. 05). Compared with the control group,the quality of life score of patients in the experimental group was significantly higher than(t = 41. 898,P<0. 01) while there was no difference in quality of life score between two groups before the nursing(t = 0. 726,P>0. 05).The SAS and SDS scores of experimental group after nursing were significantly lower than those in the control group[SAS(t = 11. 700,P <0. 01),SDS(t = 10. 816,P<0. 01) ].However,there were no difference in the SAS and SDS score between two groups before nursing[SAS(t = 0. 312,P> 0. 05),SDS(t = 0. 867,P > 0. 05) ]. Conclusion Careful psychological nursing intervention on AMI patients could significantly alleviate the patients’ adverse emotions like anxiety and depression,shorten hospitalization time,improve psychological status of patients,promote the quality of life of patients,and enhance patients’ self-confidence to promote treatment compliance,which deserves to be spread. |
| Key words: psychologicalnursing AMI adverseemotion psychologicalstatus |
