精细化护理干预对急性心肌梗死PCI术患者心功能、心理状态及睡眠质量的影响

Effect of Refined Nursing Intervention on Cardiac Function,Mental State and Sleep Quality in Patients with Acute Myocardial Infarction after PCI

目的:探讨精细化护理干预对于急性心肌梗死(AMI)经皮冠状动脉介入治疗术(PCI)患者心功能、心理状态及睡眠质量的影响。方法:选取2020年4月至2022年4月中国人民解放军联勤保障部队第910医院急诊医学科收治的104例急性心肌梗死PCI术患者作为研究对象,按照随机数字表法分成对照组和观察组,每组52例。对照组给予常规护理干预,观察组给予精细化护理干预。采用匹兹堡睡眠指数量表(PSQI)比较2组患者干预前后的睡眠质量,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,并比较2组患者干预前及干预1周后的心功能指标[左心室舒张末期内径(LVEDD)、左心室射血分数(LVEF)、6 min步行试验(6MWT)]。结果:干预后,观察组LVEF水平显著高于对照组,LVEDD水平显著低于对照组,6MWT显著高于对照组,差异有统计学意义(P<0.05);干预后,2组患者SAS、SDS和PSQI评分均有所降低,且观察组显著低于对照组,差异有统计学意义(P<0.05)。结论:精细化护理干预对于接受PCI的AMI患者的心功能恢复具有促进作用,有利于调整患者的心理状态,提高睡眠质量,缓解患者的不良心理情绪,值得临床推广使用。

Objective:To investigate the effects of refined nursing intervention on cardiac function,mental state and sleep quality in patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods:A total of 104 patients with acute myocardial infarction receiving PCI in the Emergency Medicine Department of the 910th Hospital of the Chinese People′s Liberation Army Joint Logistic Support Force from April 2020 to April 2022 were selected as research objects,and were divided into control group and observation group according to the random number table method,with 52 cases in each group.The control group was given routine nursing intervention,and the observation group was given fine nursing intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the sleep quality of 2 groups before and after the intervention,and Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms between 2 groups.Cardiac function indexes(left ventricular end-diastolic inner diameter(LVEDD),left ventricular ejection fraction(LVEF),6 min walking test(6MWT)were compared between2 groups before intervention and 1 week after intervention.Results:After intervention,the LVEF level in the observation group was significantly higher than that in the control group,the LVEDD level was significantly lower than the control group,and the 6MWT level was significantly higher than the control group,and the difference between the two groups was statistically significant(P s<0.05).After intervention,SAS,SDS and PSQI scores in 2 groups were decreased,and the observation group was significantly lower than the control group,the difference in price between 2 groups was statistically significant(P s<0.05).Conclusion:Refined nursing intervention can promote the recovery of cardiac function in AMI patients receiving PCI,which is conducive to adjusting patient′s psychological state,improving sleep quality and relieving patient′s adverse psychological emotions,and is worthy of clinical promotion and use.