阶梯式心理疏导联合改良式进餐体位在急性心肌梗死患者中的应用效果

Application Effects of Ladder Psychological Counseling and Improved Dining Posture in Patients with Acute Myocardial Infarction

目的:探讨阶梯式心理疏导联合改良式进餐体位在急性心肌梗死患者中的应用效果。方法:取2016年2月至2017年2月采用常规干预的急性心肌梗死患者56例作为对照组,另选2017年3月至2018年3月采用阶梯式心理疏导联合改良式进餐体位干预的急性心肌梗死患者56例作为观察组。比较两组患者干预前后心理状态、心率变异性指标变化情况及临床满意度。结果:干预后观察组焦虑、抑郁评分均低于对照组,差异有统计学意义(P<0.05);全程NN间期标准差(standard deviation of NN intervals,SDNN)、全程每5 min NN间期均值标准差(standard deviation of the average NN intervals,SDANN)、全部相邻NN之差均方根(root mean square of sussessive differences,RMSSD)及高频(high frequency,HF)均高于对照组,低频(low frequency,LF)低于对照组,差异有统计学意义(P<0.05);观察组临床满意度高于对照组,差异有统计学意义(P<0.05)。结论:阶梯式心理疏导联合改良式进餐体位可有效改善急性心肌梗死患者负性情绪,降低心血管疾病风险,提高临床满意度。

Objective:To discuss the application effects of ladder psychological counseling and improved dining posture in the patients with acute myocardial infarction.Methods:A total of 56 patients with acute myocardial infarction who were hospitalized from February 2016 to February 2017 and accepted conventional intervention were taken as the control group,and 56 patients with acute myocardial infarction treated in our hospital from March 2017 to March 2018 were selected as the observation group,and they accepted ladder psychological counseling and improved dining posture.To compare psychological state,the changes of heart rate variability and clinical satisfaction degree in both groups before and after the intervention.Results:After the intervention,the observation group was lower than the control group in SAS and SDS scores,and the difference was statistically significant(P<0.05);SDNN,SDANN,RMSSD and HF of the observation group were higher than these of the control group,LF lower than that of the control group,and the difference showed statistical meaning(P<0.05);the observation group was higher than the control group in clinical satisfaction degrees,and the difference was statistically significant(P<0.05).Conclusion:Ladder psychological counseling and improved dining posture could effectively improve negative emotions in the patients with acute myocardial infarction,reduce the risk of cardiovascular disease and raise clinical satisfaction degree.