社会目标模式随访对出院老年心肌梗死患者主观幸福感和情绪状态的影响

Effect of Social Target Model Follow-up on Subjective Well-being and Emotional State in Patients with Myocardial Infarction

目的探讨社会目标模式随访对出院老年心肌梗死患者主观幸福感和情绪状态的影响。方法选取哈尔滨医科大学附属第二医院2017年1月~2017年10月收治的老年心肌梗死患者120例,采用随机数字表法分为对照组和观察组,每组60例。对照组接受一般随访,观察组接受社会目标模式为指导的随访,两组均随访1年。出院后6个月和12个月,采用幸福感指数评估患者主观幸福感,采用焦虑自评量表(SAS)及抑郁自评量表(SDS)比较评价患者情绪状态,采用心肌梗死多维度量表(MIDAS)评价患者生活质量。结果观察组幸福感指数显著高于对照组(P <0.05);SAS和SDS得分均显著低于对照组(P <0.05);MIDAS得分显著低于对照组(P <0.05)。结论社会目标模式随访管理能提高出院心肌梗死患者主观幸福感,降低患者的焦虑和抑郁情绪,提高患者生活质量。

Objective To investigate the effect of social goal model follow-up on subjective well-being and emotional status in patients with myocardial infarction.Methods 120 patients with myocardial infarction admitted in the Second Hospital Affiliated to Harbin Medical University from January 2017 to October 2017 were randomly divided into the observation group and control group,with 60 cases in each group.The control group received routine follow-up management,the observation group accepted follow-up management based on social goal model,and the two groups were followed up for 12 months.6 months and 12 months after discharge,the well-being was evaluated by well-being index.The emotional state was evaluated by self-rating anxiety scale(SAS) and self-rating depression scale(SDS).The quality of life was evaluated by myocardial infarction dimensional assessment scale(MIDAS).Results The well-being index in the observation group was significantly higher than that in the control group(P < 0.05).The scores of SAS and SDS in the observation group were significantly lower than those in the control group(P < 0.05).The MIDAS score in the observation group was significantly lower than that in the control group(P < 0.05).Conclusion Follow-up management based on social goal model might improve the subjective well-being,reduce the anxiety and depression and improve the quality of life in patients with myocardial infarction.