结构式心理干预在急性心肌梗死患者中的应用

Application of structural psychological intervention in patients with acute myocardial infarction

目的探讨结构式心理干预在急性心肌梗死(AMI)患者中的应用效果。方法采用便利抽样法,选取驻马店市中心医院2016年1月—2019年10月收治的AMI患者196例为研究对象。按随机数字表法将其分为对照组(n=97)和观察组(n=99)。对照组患者行常规护理干预,观察组在对照组的基础上行结构式心理干预。采用一般自我效能感量表(GSES)、Barthel指数、SAS、SDS比较干预的效果。结果干预2个月后,观察组患者GSES评分、Barthel指数均高于对照组,差异有统计学意义(P<0.05)。干预2个月后,观察组患者SDS、SAS评分均低于对照组,差异有统计学意义(P<0.05)。结论结构式心理干预能够提高AMI患者自我效能,同时可缓解患者焦虑、抑郁等负性情绪,从而有助于改善预后。

Objective To explore the application effect of structural psychological intervention in patients with acute myocardial infarction(AMI).Methods A total of 196 AMI patients who were admitted to Zhumadian Central Hospital from January 2016 to October 2019 were selected as research objects.They were divided into the control group(n=97)and the observation group(n=99)according to the random number table method.Patients in the control group received routine nursing intervention,and the observation group performed structural psychological intervention on the basis of the control group.General Self-Efficacy Scale(GSES),Barthel index,Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the effects of intervention.Results After 2 months of intervention,GSES score and Barthel index of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After 2 months of intervention,SDS and SAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Structural psychological intervention can improve the self-efficacy of patients with AMI,and at the same time alleviate negative emotions such as anxiety and depression,thereby helping to improve prognosis.