针对性护理对风湿性心脏病患者焦虑状态的效果观察

Effects of anxiety targeted nursing on patients with rheumatic heart disease

目的观察针对性护理对风湿性心脏病患者焦虑状态的效果。方法选择2010-01—2014-01我院收治的72例风湿性心脏病患者为研究对象。随机分为观察组和对照组各36例,2组均采用常规护理方法,包括宣传教育、心理护理、饮食护理等。观察组在此基础上给予焦虑状态针对性护理,包括心理支持与家庭社会支持等。结果2组患者干预前SDS、SAS评分组间比较无显著性差异(P>0.05);干预后观察组评分明显低于对照组(P<0.05)。干预前2组患者HAMA评分组间比较无显著性差异(P>0.05),干预后观察组HAMA评分显著低于对照组,差异有统计学意义(P<0.05)。观察组中无焦虑21例,可能焦虑8例,焦虑5例,明显焦虑2例;对照组无焦虑9例,可能焦虑5例,焦虑11例,明显焦虑7例,严重焦虑4例,对照组患者焦虑发生情况较观察组严重,差异有统计学意义(P<0.05)。结论对风湿性心脏病患者进行焦虑状态针对性护理,能有效缓解其焦虑情绪,降低焦虑发生率,提升医护措施的效果,促进疾病康复。

Objective To observe the clinical effects of anxiety targeted nursing on patients with rheumatic heart dis‐ease.Methods 72 cases of patients with rheumatic heart disease from January 2010 to January 2015 in our hospital were select‐ed and divided into observation group and control group ,with 36 cases in each group. Patients in both groups were treated with routine methods ,including education ,psychological nursing ,and diet nursing. The observation group was given anxiety targe‐ted nursing on this basis ,including psychological support and family and social support.Results Before intervention ,SDS and SAS score of the two groups had no significant difference （P〉0.05）;after intervention ,the score of observation group was significantly lower than the control group ,with a statistically significant difference （P〈0.05）.Before intervention ,HAMA score of the two groups had no significant difference（P〉0.05）;after intervention ,HAMA score of the observation group was significantly lower than the control group ,with a statistically significant difference （P〈0.05）. The observation group had 21 cases of no anxiety ,8 cases of probable anxiety ,5 cases of anxiety ,and 2 cases of significant anxiety ;the control group had 9 cases of no anxiety ,5 cases of probable anxiety ,11 cases of anxiety ,7 cases of significant anxiety ,and 4 cases of severe anxie‐ty.Anxiety of the control group was more severe than the observation group ,with a statistically significant difference （P〈0.05）.Conclusion For the treatment of patients with rheumatic heart disease ,anxiety targeted nursing can effectively relieve their anxiety ,reduce the incidence of anxiety ,enhance the effects of health nursing measures ,and promote recovery from dis‐ease.