情志护理联合舒适护理对经皮冠脉介入术患者干预效果的研究

Study of Intervention Effect of Emotional Nursing Combined with Comfort Nursing for Percutaneous Coronary Intervention

目的:观察情志护理联合舒适护理对经皮冠脉介入术(PCI)患者干预的效果。方法:选取行PCI治疗的149例患者,依据随机数字表法分为2组,对照组74例予以术后常规护理干预,观察组75例在对照组基础上予以情志护理联合舒适护理干预。对比2组患者护理前后负性情绪、生活质量、护理后舒适度、护理满意度及并发症情况。结果:护理2、4周后,观察组汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评分均明显低于对照组,差异有统计学意义(P<0.05)。护理后,观察组住院、睡眠舒适度明显高于对照组,并发症总发生率明显低于对照组,生活质量及健康指导、人员素质、病情观察、症状改善评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论:情志护理联合舒适护理能够有效改善行PCI治疗患者的焦虑、抑郁等负性情绪,减少并发症发生情况,提高舒适度、生活质量及护理满意度。

Objective: To observe the intervention effect of emotional nursing combined with comfort nursing for percutaneous coronary intervention(PCI). Methods: A total of 149 cases of patients undergoing PCI were divided into the control group and the observation group according to random number table method, 74 and 75 cases in each group respectively. After operation,the control group was given routine nursing,and the observation group was additionally given emotional nursing combined with comfort nursing based on the intervention of the control group. The negative emotions and quality of life before and after nursing,as well as the comfort degree,nursing satisfaction and complications after nursing in the two groups were compared. Results: After two and four weeks of nursing, the scores of HAMD and HAMA in the observation group were significantly lower than those in the control group,the difference being significant(P<0.05). After nursing,the comfort degrees of hospitalization and sleep in the observation group were significantly higher than those in the control group(P<0.05);the incidence of complications was significantly lower(P<0.05);the quality of life and the scores of health guidance, personnel quality, disease observation and symptom improvement were significantly higher, the difference being significant(P<0.05). Conclusion:The intervention of emotional nursing combined with comfort nursing can effectively improve negative emotions like anxiety and depression in patients undergoing PCI, reduce the incidence of complications and improve comfort degrees,quality of life and nursing satisfaction.