激励式护理干预对急性冠脉综合征并发焦虑抑郁患者心理状态及生活质量的影响

The effect of the inspiring nursing intervention on the mental state and life quality of patients with acute coronary syndrome combined with anxiety-depression

目的 探讨激励式护理干预对急性冠脉综合征并发焦虑抑郁患者心理状态及生活质量的影响.方法 选择2012年1月～2013年1月在湖州市第一人民医院心血管内科就诊的急性冠脉综合征并发焦虑抑郁患者110例为研究对象,随机分为对照组和观察组.对照组采用常规专业护理,观察组在急性冠脉综合征并发焦虑抑郁常规专业护理的基础上,加用激励式护理干预措施.采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评定两组患者的心理状态.应用生活质量量表（SF-36）观察两组患者的生活质量.结果 干预1个月后,观察组患者SAS、SDS评分[（47.7±5.3）、（48.7±5.0）分]低于对照组[（54.2±6.2）、（52.4±5.6）分],差异均有高度统计学意义（均P＜ 0.01）.干预1个月后,观察组患者总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康等生活质量评分[（78.56±3.76）、（79.46±3.95）、（78.38±3.72）、（76.95±3.53）、（77.57±4.18）、（75.54±4.86）、（79.26±4.92）、（78.32±4.28）分]均高于对照组[（74.15±4.11）、（75.20±4.10）、（73.90±4.37）、（73.24±3.45）、（74.05±4.15）、（72.18±4.23）、（74.64±4.36）、（73.88±3.94）分],差异均有高度统计学意义（均P＜ 0.01）.结论 激励式护理干预措施能够激发急性冠脉综合征并发焦虑抑郁患者战胜疾病的信心,改善患者的心理状态,并改善其生活质量.

Objective To study the effect of the inspiring nursing intervention on the mental state and life quality of patients with acute coronary syndrome combined with anxiety-depression.Methods 110 patients with acute coronary syndrome and anxiety-depression who were admitted to cardiovascular medicine department of the First People＇s Hospital of Huzhou city from January 2012 to January 2013 were randomly divided into the control group and observation group.The control group was given the general professional nursing,and the observation group was given the inspiring nursing intervention based on the general professional nursing of disease with acute coronary syndrome and anxiety-depression.The mental state of patients in the two groups were evaluated by self rating anxiety scale （SAS） and self rating depressive scale （SDS）.The life quality of patients in the two groups were evaluated by quality of life scale （SF-36）.Results After one month of intervention,the scores of SAS and SDS in the observation group [（47.7±5.3）,（48.7±5.0） point] were both significantly lower than those in control group [（54.2±6.2）,（52.4±5.6） point],the difference were highly statistically significant （all P ＜ 0.01）.After one month of intervention,the life quality score such as the scores of total health,physiologic function,physiological role,somatic pain,vigor,social function,emotional role and mental health in the observation group [（78.56±3.76）,（79.46±3.95）,（78.38±3.72）,（76.95±3.53）,（77.57±4.18）,（75.54±4.86）,（79.26±4.92） （78.32±4.28） point respectively] were all significantly higher than those in control group [（74.15±4.11）,（75.20±4.10）,（73.90±4.37）,（73.24±3.45）,（74.05±4.15）,（72.18±4.23）,（74.64±4.36）,（73.88±3.94） point respectively],the difference were highly statistically significant （all P ＜ 0.01）.Conclusion The inspiring nursing intervention can inspire the confidence of patients with acute coronary syndrome combined with anxiety-depression to overcome the disease,and can improve the mental state and life quality.