急性心肌梗死患者焦虑症用药及心理护理的临床价值

Medication for Anxiety Disorders in Patients With Acute Myocardial Infarction and the Clinical Value of Psychological Nursing

目的对急性心肌梗死患者焦虑症调查,探讨用药及心理护理的临床价值。方法研究对象选取孝感市中心医院2013年11月—2014年11月收治的84例急性心肌梗死患者,随机分为对照组与观察组(各42例)。对照组患者接受常规护理;观察组同时给予用药护理和心理护理。对全体患者用药相关焦虑情况进行调查,统计两组患者护理后用改良版药依从性行为量表(Morisky)评分和焦虑自评量表(SAS)评分。结果用药依从性高组患者SAS评分(53.74±6.15)分显著低于用药依从性低组(P<0.05);护理后,较对照组,观察组患者用Morisky评分(13.52±2.23)分高,SAS评分(42.37±5.24)分低,两组比较差异有统计学意义(P<0.05)。结论急性心肌梗死患者用药依从性差与焦虑发生有显著相关,给予用药及心理护理能有效提高患者用药依从性,改善焦虑心理。

Objective To investigate the medication related anxiety in patients with acute myocardial infarction and to explore the clinical value of medication and psychological nursing.Methods 84 patients with acute myocardial infarction treated in our hospital from November 2013 to November 2014 were treated as the research objects and were randomly divided into the control group （42 cases） and the observation group （42 cases）.Patients in the control group received routine nursing; Meanwhile, the observation group were given medication nursing and psychological nursing.The medication related anxiety in all patients was investigated.After nursing , the modified version of drug compliance behavior scale （ Morisky ） scores and self-rating anxiety scale （ SAS ） scores in the two groups were statistically analyzed.Results The SAS score （ 53.74 ±6.15 ） of high medication compliance group was significantly lower than that of the low medication compliance group （ P〈0.05 ）;After nursing , compared with the control group, Morisky score （13.52±2.23） and SAS score （42.37±5.24） of the observation group were lower （ P〈0.05 ） . Conclusion Poor medication compliance of patients with acute myocardial infarction is significantly related to the incidence of anxiety.Medication and psychological nursing can effectively improve the medication compliance and improve anxiety.