系统化护理对冠心病心绞痛患者心理状态及疼痛控制的影响

Effect of systematic nursing on psychological state and pain control of patients with angina pectoris in coronary heart disease

目的探讨系统化护理对冠心病心绞痛患者心理状态及疼痛控制的影响。方法本研究选取2017年12月-2019年2月郑州市某医院收治的82例冠心病心绞痛患者为研究对象。采用随机数字表法将患者分为观察组与对照组,每组41例。对照组患者实施常规护理,观察组患者在对照组护理基础上进行系统化护理。干预1周时,采用焦虑自评量表(SAS)及抑郁自评量表(SDS)评估2组患者心理状态,同时比较2组患者的疼痛控制效果。结果护理后,观察组患者SAS及SDS评分分别为(12.41±2.31)分及(13.34±2.34)分,均低于对照组的(17.38±2.01)分及(17.47±2.35)分,2组患者SAS及SDS评分均低于护理前,差异均有统计学意义(P<0.05)。观察组患者疼痛控制有效率为97.56%,高于对照组的80.48%,差异有统计学意义(P<0.05)。结论系统化护理在改善冠心病心绞痛患者心理状态及控制疼痛方面发挥着重要作用,临床效果显著,值得临床推广应用。

Objective To explore the effect of systematic nursing on the psychological state and pain control of patients with angina pectoris in coronary heart disease.Methods This study selected 82 patients with angina pectoris in coronary heart disease admitted to a hospital in Zhengzhou from December 2017 to February 2019 as the research subjects.A random number table was used to divide the patients into an observation group and a control group,with 41 cases in each group.The patients in the control group were given routine care,and the patients in the observation group were given systematic nursing care in addition.At 1 week of intervention,the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to assess the psychological state of the two groups of patients,and the pain control effects of the two groups of patients were compared at the same time.Results After nursing,the SAS and SDS scores of the observation group were(12.41±2.31)and(13.34±2.34)points,which were lower than the(17.38±2.01)and(17.47±2.35)points of the control group.The SAS and SDS scores of both groups were lower than before nursing,and the differences were statistically significant(P<0.05).The effective rate of pain control in the observation group was 97.56%,higher than 80.48%in the control group,and the difference was statistically significant(P<0.05).Conclusion Systematic nursing plays an important role in improving the psychological state and pain control for patients with angina pectoris in coronary heart disease.The clinical effect is remarkable,and it is worth wider clinical application.