摘要
目的探讨心理护理干预对急性心肌梗塞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月期间我院老年心血管科收治的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。结果经一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，差异具有统计学意义（P〈0．05）；且观察组患者平均住院时长明显低于对照组，差异具有统计学意义（P〈0．01）。护理干预前，观察组和对照组AMI患者在躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖、偏执和精神病性等方面的差异无统计学意义（P〉0．05）。而在行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，组间存在显著差异（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，差异具有统计学意义（t=41．898，P〈0．01）。护理前，观察组和对照组SAS和SDS评分眈较无明显差异，SAS（t=0．312．P〉0．05）．SDS（t=0．867，P〉0．05）。护理后，观察组评分蛀著低于对照组，组间比较存在显著差异，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。
Objective To explore the influence of psychological nursing intervention on the negative emotions and psychological sta- tus in patients with acute myocardial infarction. Methods 160 cases of acute myocardial infarction patients from May 2015 to May 2015 in our hospital were selected as the research object, all of them were randomly divided into control group and study group, the control group （80 cases） received conventional nursing,the study group （80 cases） received psychological nursing intervention on the basis of the control group. The patients were followed next 2 months, analyze the clinical effect, psychological status, quality of life, depression degree. Results After 1 month of treatment, the complications rate of study group was significantly lower than that of the control group（P〈0.05）. ;and the mean hospital stay of the former was significantly shorter than of the latter（P〈0.05）. There was no differ- ences on all subscales score of SCL -- 90 between the two groups（P〉0.05）. After the implementation of the psychological nursing in- tervention,all subseales score of SCL-90 in the study group were significantly lower than the control group. There was no differences on the score of patients＇ quality of life, the SDS score and SAS score between the two groups before the implementation of the psychologi- cal nursing intervention（P〉0.05）. After the implementation of the psychological nursing intervention, the quality of life of the study group was significantly higher than that of the control group（P〈0.05）, the SDS score and SAS score of the study group was signifi- cantly lower than that of the control group（P〈0. 05）, the difference was statistically significant. Conclusion The implementation of the psychological nursing intervention can significantly relieve the negative emotions of anxiety and depression, shorten hospital stay. promote expectorant effect, improve the psychological status and quality of life of the patients, and increase the patients＇ confidence, worthy of promotion.
出处
《检验医学》
CAS
2016年第B11期171-173,共3页
Laboratory Medicine
关键词
心理护理
急性心肌梗死
不良情绪
心理状态
Psychological nursing
AMI
Negative emotions
Psychological status
