压力管理用于CCU首发AMI患者对负性情绪及生活质量的影响

Effects of stress management on negative emotions and quality of life in first onset AMI patients in CCU

目的观察压力管理用于冠心病重症监护室（ coronary heart disease intensive care unit, CCU）首发急性心肌梗死（ acute myocardial infarction, AMI）患者对其负性情绪及生活质量的影响。方法选取286例CCU首发AMI患者，随机分为观察组（n=143）与对照组（n=143）。对照组采取常规CCU护理，观察组在对照组常规CCU护理基础上同期实施压力管理。比较2组住院时间，入院时、出院时的负性情绪[采用综合医院焦虑／抑郁情绪测定表（ Hospital Anxiety and Depression Scale, HADS）进行评估]，睡眠质量[应用亚森失眠量表（Athens Insomnia Scale，AIS）进行评估]，生活质量[采用西雅图心绞痛调查表（Seattle Angina Questionnaire，SAQ）进行评估]。结果2组住院时间以及入院时的HADS焦虑评分、HADS抑郁评分、AIS评分差异均无统计学意义（P〉0．05）；观察组出院时的HADS焦虑评分、HADS抑郁评分、AIS评分分别为（4．67±0．79）分、（4．63±0．87）分、（2．95±1．77）分，低于对照组（5．18±0．86）分、（5．21±0．95）分、（3．54±1．69）分（P〈0．05）。2组患者入院时的生活质量各项评分差异均无统计学意义（P〉0．05），观察组出院时的生活质量各项评分均高于对照组（P〈0．05）。PL、DP与HADS焦虑评分及HADS抑郁评分之间未见相关性（P〉0．05）；AF、AS、TS均与HADS焦虑评分及HADS抑郁评分呈负相关（P〈0．05）。结论CCU首发AMI患者的生活质量与负性情绪相关，压力管理的应用可有效改善患者负性情绪，从而提高患者睡眠质量与生活质量。

Objective To observe the effect of stress management on negative emotions and quality of life in first on- set AMI patients in CCU. Methods A total of 286 first onset AMI patients in CCU were randomly divided into observa- tion group （n = 143） and control group （n = 143）. The control group received conventional CCU nursing and the obser- vation group carried out stress management on the basis of conventional CCU nursing. The hospitalization time, the nega- tive emotions （assessed by the Hospital Anxiety and Depression Scale, HADS）, sleep quality （assessed by the Athens Insomnia Scale, AIS）, quality of life （assessed by the Seattle Angina Questionnaire, AIS） at the time of admission and at the time of discharge were compared between the two groups. Results There were no significant difference in hospitali- zation time, the HADS anxiety score, HADS depression score and AIS score at the time of admission between the two groups （P 〉 0.05 ）. The HADS anxiety score, HADS depression score and AIS score of the observation group were （4. 67 ±0.79） points, （4.63±0. 87） points and （2.95±1.77 ） points, respectively, which were lower than （5.18 ±0. 86） points, （5.21±0.95 ） points, （3.54 ±1.69） points in the control group （ P 〈 0.05 ）. There were no significant difference in the quality of life scores of each dimension between the two groups （ P 〉 0.05 ）. The quality of life scores of each dimension in the observation group were all higher than those in the control group （P 〈 0. 05）. There were no corre- lation between physical limitation （PL） score, disease perception （DP） score with the HADS anxiety score and HADSdepression score （P 〉 0.05）. The angina frequency （AF） score, angina stability （AS） score and treating satisfaction （TS） score were negatively correlated with HADS anxiety score and HADS depression score （P 〈 0.05 ）. Conclusions The quality of life and negative emotions are correlated in the first onset AMI patients in CCU. The application of stress management can effectively improve the patient＇s negative emotions, thereby improving the quality of sleep and quality of life of patients.