心理护理在改善急性心肌梗死患者焦虑、抑郁情绪中的应用效果

Psychological care in improving application results in acute myocardial infarction in patients with anxiety and depression

目的研究心理护理在改善急性心肌梗死患者的焦虑和抑郁情绪的作用。方法将首都医科大学附属北京世纪坛医院2010年6月～2012年6月新发急性心肌梗死的60例患者分为A组（心理护理组）和B组（常规护理组），两组患者在常规治疗的基础上，分别采取心理＋常规护理和常规护理两种不同护理模式，在病情稳定和出院前对所有患者采用焦虑自评量表（SAS）和抑郁自评量表（SDS）进行焦虑和抑郁情绪评估。结果A组患者在出院时的SAS和SDS评分结果分别为（38．63±6．84）分和（46．11±6．19）分，B组SAS和SDS评分结果分别为（44．32±8．37）分和（49．96±7．15）分，A组与B组比较差异有统计学意义（P〈0．05）。结论心理护理能有效改善急性心肌梗死患者的焦虑、抑郁情绪，提高患者的生活质量。

Objective To discuss the effects of psychological nursing in acute myocardial infarction （AMI） patients. Methods 60 AMI patients were analyzed and divided into two groups randomly in our hospital from June 2010 to June 2012. The two groups received conventional therapy and different nursing models,patients in group A cured with psy- chological nursing and normal nursing,patients in group B just accepted normal nursing. All patients were tested with self-rating anxiety scale （SAS） and self-rating depression scale （SDS）to evaluate their anxiety and depression when they were in stable condition and before discharge. Results The SAS and SDS in group A were （38.63±6.84） scores and （46.11±6.19） scores respectively, and the SAS and SDS in group B were （44.32±8.37） scores and （49.96±7.15） scores, there were significant differences between Group A and Group B （P 〈 0.05）. Conclusion Psychological nursing can improve the anxiety and depression state of patients with acute myocardial infarction effectively.