认知行为干预对急性心肌梗死经皮冠状动脉介入术后患者心理状态和护理满意度的影响

Effect of cognitive behavior intervention on psychological status and nursing satisfaction of patients with acute myocardial infarction after percutaneous coronary intervention

目的 探讨认知行为干预对急性心肌梗死(AMI)经皮冠状动脉介入(PCI)术后患者心理状态和护理满意度的影响.方法 选取2018年7月~2019年7月我院收治的60例AMI PCI术后患者作为研究对象,按照干预方式的不同分为对照组(n=30)与观察组(n=30).对照组给予常规护理方法,观察组给予认知行为干预.采用焦虑抑郁量表(HADS)中焦虑量表(HAD-A)和抑郁量表(HAD-D)评分评价两组的心理状态,采用心理弹性量表(CDRISC)评价并比较两组的心理弹性水平;比较两组的护理总满意度.结果 观察组的焦虑、抑郁发生率低于对照组,心理弹性水平优于对照组,差异均有统计学意义(P<0.05);观察组护理总满意度高于对照组,差异有统计学意义(P<0.05).结论 认知行为干预能改善AMI PCI术后患者心理状态,提升护理满意度.

Objective To study the effect of cognitive intervention on the psychological state and nursing satisfaction of patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods A total of 60 patients with AMI after PCI from July 2018 to July 2019 were selected as research objects.According to the different modes of intervention,the patients were divided into control group(n=30)and observation group(n=30).The control group was given routine nursing methods,the observation group was given cognitive behavioral intervention.The psychological state of the two groups was evaluated using the anxiety scale(HAD-A)and depression scale(HAD-D),the psychological elasticity scale(CD-RISC)was used to evaluate and compare the psychological elasticity level of the two groups,and the total nursing satisfaction of the two groups was compared.Results The incidence of anxiety and depression in the observation group was lower than that in the control group,and the level of psychological elasticity was better than that in the control group,with statistical differences(P<0.05),and the total nursing satisfaction in the observation group was higher than that in the control group,with statistical difference(P<0.05).Conclusion Cognitive behavior intervention can improve the psychological state and nursing satisfaction of patients with AMI after PCI.