综合护理干预措施对急性ST段抬高性心肌梗死患者预后及心理状态的影响研究

Influence research of comprehensive nursing intervention measures for the prognosis and mental state of the patients with acute ST segment elevation myocardial infarction.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(6)
作者
作者单位

盘锦市中心医院,辽宁省盘锦市 ;
盘锦市中心医院 ;

摘要
周 玉[] 高 阳1 董莹莹1 王 婷1 李萌萌1 【摘要】目的:探讨综合护理干预措施对急性ST段抬高性心肌梗死患者预后及心理状态的影响。方法:收集我院2015年1月-2016年1月急性ST段抬高性心肌梗死患者82例的病历资料,利用计算机随机分组,对照组41例患者,行常规护理干预,观察组41例患者,行综合护理干预,比较两组预后情况,测定两组心肌酶谱水平变化,并采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者心理状况改善情况进行评定。结果:观察组总有效率明显高于对照组(P<0.05);观察组心律失常、心源性休克、心肌疼痛等并发症发生率低于对照组(P<0.05);观察组护理后CK、LDH、AST水平均优于对照组(P<0.05);观察组治疗后SAS、SDS评分优于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论:对急性ST段抬高性心肌梗死患者开展综合护理干预的效果较好,改善患者心理状况,提高护理质量,且预后较好,值得推荐。
Abstract
[Abstract] Objective: To probe into the influence of comprehensive nursing intervention measures for the prognosis and mental state of the patients with acute ST segment elevation myocardial infarction. Methods: Medical record data of 82 patients with acute ST segment elevation myocardial infarction in our hospital from January,2015 to January,2016 were collected,and were randomly divided by the computer.In the control group of 41 patients were underwent the routine nursing intervention while in the observation group of 41 patients were underwent the comprehensive nursing intervention.Then,the prognosis of the two groups were compared,the improvement situation of mental state of patients were evaluated by the Self rating Anxiety Scale (SAS) and self rating Depression Scale (SDS).And the nursing satisfaction of the two groups were compared by the self designed nursing satisfaction questionnaire. Results: The arrhythmia, cardiac shock, cardiac pain and other incidence rate of complications in the observation group were lower than those in the control group (P<0.05);The SDS, SAS score in the observation group after treatment were better than those in the control group (P<0.05);And the nursing satisfaction in the observation group was higher than that of control group (P<0.05). Conclusion: The effect of comprehensive nursing intervention for patients with acute ST segment elevation myocardial infarction are better,which can improve the psychological status of patients, improve the quality of care, and the prognosis is better,thus it is worthy to be recommended.
关键词
【关键词】急性ST段;心肌梗死;综合护理;心理状态
KeyWord
[Key words] acute ST segment; myocardial infarction; comprehensive nursing; psychological state
基金项目
页码 1135-1137
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周玉*,高 阳, 董莹莹,王 婷,王 婷,李萌萌. 综合护理干预措施对急性ST段抬高性心肌梗死患者预后及心理状态的影响研究 [J]. 国际精神病学杂志. 2016; 43; (6). 1135 - 1137.

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