双心护理联合放松训练对老年冠心病介入治疗患者心理应激、睡眠质量和意外事件的影响

Effects of bicardiac nursing combined with relaxation training on psychological stress,sleep quality and accidents in elderly patients with coronary heart disease after interventional therapy

目的探讨双心护理联合放松训练对老年冠心病介入治疗患者心理应激、睡眠质量和意外事件的影响。方法选择2015年3月-2017年7月在我院接受介入治疗的116例老年冠心病患者,采用随机数字表法分为观察组和对照组各58例,对照组给予心血管介入治疗常规护理,观察组在常规护理的基础上实施双心护理联合放松训练,借助焦虑自评量表(SAS)、抑郁自评量表(SDS)和匹兹堡睡眠质量指数(PSQI)对两组患者实施相应护理前后心理应激指标和睡眠质量进行评价,并比较两组患者桡动脉穿刺成功率、并发症发生情况及介入意外事件发生率。结果护理前两组患者均存在不同程度的焦虑、抑郁、睡眠质量差等心理应激反应,组间SAS、SDS和PSQI评分比较,差异无统计学意义(P>0.05)。经护理干预后,两组患者心理负面情绪均得到改善,观察组SAS和SDS评分明显较对照组低(P<0.05);入睡时间、睡眠质量、睡眠时间等指标,观察组下降较对照组明显(P<0.05);观察组桡动脉穿刺成功率高于对照组(P<0.05);介入治疗并发症及意外事件发生率低于对照组(P<0.05)。结论双心护理联合放松训练能够有效缓解老年冠心病介入治疗患者焦虑、抑郁、紧张情绪,降低心理应激程度,提高睡眠质量和桡动脉穿刺成功率,降低血管痉挛、穿刺部位血肿等意外事件发生率,对保证手术顺利完成具有重要意义。

Objective To investigate the effects of dual-heart nursing combined with relaxation training on psychological stress,sleep quality and accidents of elderly patients with coronary heart disease undergoing interventional therapy.Method Atotal of 116 elderly patients with coronary heart disease who received interventional therapy in our hospital from March 2015 to July 2017 were divided into observation group and control group by random number table method,58 cases in each group.The control group was given routine nursing of cardiovascular interventional therapy,while the observation group was given dual-heart nursing combined with relaxation training on the basis of routine nursing.Self-rating anxiety scale(SAS),self-rating depression scale(SDS)and Pittsburgh sleep quality index(PSQI)were used to evaluate the psychological stress index and sleep quality of the two groups before and after the corresponding nursing.The success rate of radial artery puncture,complications and the incidence of interventional accidents were compared between the two groups.Result There were different levels of anxiety,depression and poor sleep quality in the two groups before treatment.There was no significant differences in SAS,SDS and PSQI scores between the two groups(P>0.05).After nursing intervention,the negative emotions of the two groups were improved.The SAS and SDS scores of the observation group were significantly lower than those of the control group(P<0.05).Sleep time,sleep quality,sleep time in the observation group were significantly lower than those in the control group(P<0.05).The success rate of radial artery puncture in the observation group was higher than that in the control group(P<0.05),and the incidence of complications and accidents in interventional therapy was lower than that in the control group(P<0.05).Conclusion Double heart care combined with relaxation training can effectively alleviate anxiety,depression and tension in elderly patients with coronary heart disease undergoing interventional therapy,reduce psychological stress,improve sleep quality and success rate of radial artery puncture,and reduce the incidence of accidents such as vasospasm and hematoma at puncture site.The incidence rate is of great significance to ensure the successful completion of the operation.