移情护理对不稳定型心绞痛患者焦虑、抑郁情绪及期望水平的影响

Influence of empathy nursing on anxiety,depression and expectation level in patients with unstable angina pectoris

目的：探究移情护理对不稳定型心绞痛（UAP）急诊患者负性情绪及期望水平的影响,为这类患者的优质护理积累经验。方法：选择我院急诊科于2013年4月~2015年2月收治的88例UAP患者,根据随机数字表法,患者被随机均分为常规护理组和移情护理组（在常规护理组基础上引入移情护理）。两组于干预前后接受视觉模拟焦虑量表（VAS-A）、视觉模拟抑郁量表（VAS-D）及Herth希望指数（HHI）评价,比较两组的评分。结果：与干预前比较,两组干预后的VAS-A和VAS-D量表评分均显著降低（P均〈0.05）;与常规护理组比较,移情护理组干预后VAS-A[（6.3±1.2）分比（3.6±0.6）分]和VAS-D[（6.8±0.7）分比（3.2±0.4）分]评分降低更显著,P均〈0.05。与干预前比较,移情护理组干预后HHI各维度[对目前及未来的态度（T）、采取积极行动（P）和与他人保持亲密关系（I）]得分和总分均有显著升高（P均〈0.05）,而常规护理组无显著改变;与常规护理组比较,移情护理组干预后T[（11.2±2.3）分比（12.9±2.5）分]、P[（11.7±1.9）分比（12.8±2.7）分]、I[（10.9±1.9）分比（12.9±2.3）分]和HHI总分[（33.8±5.7）分比（38.6±6.2）分]均显著升高,P均〈0.05。结论：移情护理模式应用于不稳定型心绞痛急诊患者,能有效改善其焦虑、抑郁情绪和期望水平,值得推广。

Objective：To explore influence of empathy nursing on negative emotions and expectation level in emergency patients with unstable angina pectoris（UAP）,and accumulate quality nursing experience for these patients.Methods：A total of 88 UAP patients,who were hospitalized in our department of emergency from Apr 2013 to Feb2015,were selected.According to random number table,they were randomly and equally divided into routine nursing group and empathy nursing group（received additional empathy nursing based on routine nursing group）.Both groups received assessments of visual analogue scale for anxiety（VAS-A）,visual analogue depression scale（VAS-D）and Herth hope index（HHI）before and after intervention,then the scores were compared between two groups.Results：Compared with before intervention,there were significant reductions in scores of VAS-A and VAS-D in both groups after intervention,P〈0.05all;compared with routine nursing group after intervention,there were significant reductions in scores of VAS-A [（6.3±1.2）scores vs.（3.6±0.6）scores]and VAS-D [（6.8±0.7）scores vs.（3.2±0.4）scores]in empathy nursing group,P〈0.05 both.Compared with before intervention,there were significant rise in all dimension scores,including temporality and future（T）,positive readiness and expectancy（P）and interconnectedness（I）,and total score of HHI in empathy nursing group after intervention（P〈0.05all）,but there were no significant changes in routine nursing group;compared with routine nursing group after intervention,there were significant rise in scores of T [（11.2±2.3）scores vs.（12.9±2.5）scores],P[（11.7±1.9）scores vs.（12.8±2.7）scores]and I[（10.9±1.9）scores vs.（12.9±2.3）scores],and total score[（33.8±5.7）scores vs.（38.6±6.2）scores]of HHI in empathy nursing group,P〈0.05 all.Conclusion：Empathy nursing mode can effectively improve anxiety,depression and expectation level in patients with unstable angina pectoris,and it＇s worth extending.