摘要
目的探讨情感支持在急性心肌梗死(acute myocardial infarction,AMI)患者中的应用效果,为改善患者对疾病的认知和情感状态提供参考。方法在医院诊治的120例AMI患者分为对照组(58例)和干预组(62例),均接受常规护理,干预组另给予情感支持。护理前、护理10 d后,采用西雅图心绞痛调查量表(SAQ)、积极情感消极情感量表(PANAS)评估并比较2组患者疾病状况、情感状态,统计治疗期间2组患者并发症发生情况。结果干预前,2组患者SAQ、PANAS总分及各维度评分差异均无统计学意义(P>0.05)。干预10 d后,2组患者SAQ总分以及各维度评分均上升,干预组心绞痛稳定状态、疾病认识程度评分高于对照组,差异均有统计学意义(P<0.05)。干预10 d后,2组患者PANAS总分及各维度评分均显著改善,且干预组优于对照组,差异均有统计学意义(P<0.05)。干预组并发症发生率(8.06%)与对照组(12.07%)差异无统计学意义(χ^(2)=0.182,P=0.670)。结论情感支持可改善AMI患者的情绪,缓解疾病发生发展。
Objective To explore the application effects of emotional support in patients with acute myocardial infarction(AMI),and to provide references for improving patients’cognitive and emotional status of the disease.Methods A total of 120 patients admitted to the hospital were divided into control group(58 cases)and intervention group(62 cases).Both of the two groups received routine nursing,and the intervention group additionally received emotional support.Before and 10 days after nursing,Seattle Angina Questionnaire(SAQ)and Positive Affect and Negative Affect Scale(PANAS)were used to evaluate and compare the disease status and emotional status in the two groups.The incidences of complications were statistically analyzed in the two groups during treatment.Results Before intervention,there were no statistical differences in the total scores and scores of dimensions of SAQ and PANAS between the two groups(P>0.05).10 d after intervention,the total score and scores of dimensions of SAQ were increased in the two groups,the scores of angina pectoris stable state and disease awareness in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).10 d after intervention,the total score and scores of dimensions of PANAS in the two groups were significantly improved,the scores in the intervention group were better than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the incidence rate of complications between the intervention group(8.06%)and the control group(12.07%)(χ^(2)=0.182,P=0.670).Conclusions Emotional support can improve the emotional status of AMI patients and alleviate the occurrence and development of the disease.
作者
李莉芬
张艳
毛剑婷
LI Lifen;ZHANG Yan;MAO Jianting(Department of Cardiology and Oncology,Lishui Municipal Central Hospital,Lishui 323000,China;Department of Interventional Medicine,Lishui Municipal Central Hospital,Lishui 323000,China)
出处
《健康研究》
CAS
2022年第3期280-283,共4页
Health Research
基金
浙江省医药卫生科技计划项目(2020KY1086)。
关键词
情感支持
急性心肌梗死
疾病认知
情绪管理
emotional support
acute myocardial infarction
disease cognition
emotional management