认知及心理引导护理对急性心肌梗死患者负性情绪及应对方式的干预效果

Intervention Effects of Cognitive and Psychological Guidance Nursing in the Negative Emotion and Coping Styles of Patients With Acute Myocardial Infarction

目的观察认知及心理引导护理对急性心肌梗死患者负性情绪及应对方式的干预效果。方法研究对象源于湖北省孝感市中心医院2013年12月—2014年12月收治的68例急性心肌梗死患者,随机分为对照组(34例)与观察组(34例)。对照组患者接受常规护理;观察组同时给予认知及心理引导护理。统计两组患者护理前后汉密顿抑郁量表(HAMD)和汉密顿焦虑量表(HAMA)评分,护理后,使用医学应对问卷(MCMQ)对患者应对方式进行评估。结果护理后观察组患者HAMD评分(7.37±4.36)分和HAMA评分(6.23±3.38)分均低于对照组,面对、回避及屈服维度得分[(12.37±3.52)、(10.52±3.27)及(5.34±2.13)]分均优于对照组,两组比较差异有统计学意义(P<0.05)。结论认知及心理引导护理对改善急性心肌梗死患者负性情绪和应对方式有良好效果。

Objective To observe the intervention effects of cognitive and psychological guidance nursing in the negative emotion and coping styles of patients with acute myocardial infarction. Methods 68 patients with acute myocardial infarction treated in our hospital from December 2013 to December 2014 were selected as the research objects and were randomly divided into the control group( 34 cases) and the observation group( 34 cases). Patients in control group received routine nursing care while the observation group were given both cognitive and psychological guidance nursing. The scores of Hamilton depression scale( HAMD) and Hamilton Anxiety Scale( HAMA) of the two groups were statistically analyzed before and after nursing. After nursing,medical coping modes questionnaires( MCMQ) were used to evaluate the coping styles of patients. Results After nursing,the scores of HAMD( 7. 37 ±4. 36) and HAMA( 6. 23 ± 3. 38) of the observation group were lower than those of the control group.The scores of face,avoidance and yield dimension [( 12. 37 ± 3. 52),( 10. 52 ± 3. 27),( 5. 34 ±2. 13) ] were better than those of the control group( P < 0. 05). Conclusion Cognition and psychological guidance nursing has good effects in improving the negative emotion and coping styles of patients with acute myocardial infarction.