护理单元护理干预在改善冠心病患者心理健康和应对方式中的效果

Effect of nursing intervention in nursing unit in improving psychological health and coping strategies of coronary heart disease patients

目的探讨护理单元护理干预在改善冠心病患者心理健康和应对方式中的效果。方法 100例冠心病患者,按照随机数字法分为对照组(给予常规护理干预)及观察组(在对照组基础上给予护理单元护理干预),各50例。对比两组患者的心境状态评分与应对方式评分。结果干预后,两组患者心境状态各维度评分及积极应对、消极应对评分均较本组干预前改善,且观察组患者慌乱、抑郁、疲劳、紧张、愤怒、精力及自尊感评分[(41.4±3.9)、(45.9±4.5)、(43.1±4.2)、(44.6±4.7)、(37.3±3.5)、(63.5±5.5)、(62.7±5.7)分]显著优于对照组[(50.7±4.7)、(55.7±5.2)、(52.4±5.0)、(53.8±5.4)、(48.0±4.3)、(52.7±4.9)、(53.1±5.1)分],差异均具有统计学意义(P<0.05)。观察组积极应对评分(24.21±2.68)分高于对照组(20.78±3.13)分,消极应对评分(9.54±3.61)分低于对照组(11.92±4.81)分,差异均具有统计学意义(P<0.05)。结论在冠心病患者护理中选择护理单元护理干预可显著改善患者心理健康及应对方式,提高患者治疗依从性,对患者有积极的促进作用,具有在临床中广泛推广的价值。

Objective To explore the effect of nursing intervention in nursing unit in improving psychological health and coping strategies of coronary heart disease patients. Methods A total of 100 coronary heart disease patients were divided by random number method into control group （receiving conventional nursing intervention） and experimentalgroup （receiving nursing intervention in nursing unit on the basis of the control group）, with 50 cases in each group. Comparison were made on mood states score and coping strategies score in two groups. Results After intervention, both groups had impro,ced mood state of each dimension score, positive coping, negative coping score than those before intervention, and the observation group had significantly better panic, depression, fatigue, tension, anger, energy and self-esteem scores [ （41.4 ± 3.9）, （45.9 ± 4.5）, （43.1 ± 4.2）, （44.6 ± 4.7）, （37.3 ± 3.5）, （63.5 ± 5.5） and （62.7 ± 5.7） points ± than the control group [ （50.7 ± 4.7）, （55.7 ± 5.2）, （52.4 ± 5.0）, （53.8 ± 5.4）, （48.0 ± 4.3）, （52.7 ± 4.9） and （53.1 ± 5.1） points ] , and their difference had statistical significance （P〈0.05）. The observation group had higher active coping score as （24.21 ± 2.68） points than （20.78 ± 3.13） points in the control group and negative coping score as （9.54 ± 3.61） points than （11.92 ± 4.81） points in the control group. Their difference had statistical significance （P〈0.05）. Conclusion NUrsing intervention in nursing unit can significantly improve psychological health and coping strategies of coronary heart disease patients and increase treatment compliance of patients, along with active promotion effect. So it has wide promotion value in clinic.