预见性护理联合认知干预对急性心肌梗死患者心绞痛发生率及自我管理行为的影响

Effects of predictive nursing combined with cognitive intervention on the incidence of angina pectoris and self-management behavior in patients with acute myocardial infarction

目的观察预见性护理联合认知干预对急性心肌梗死(AMI)患者心绞痛发生率及自我管理行为的影响。方法选取2018年1月至2020年1月我院收治的76例AMI患者,采用抽签法将其随机分为对照组(38例,常规护理)和观察组(38例,在对照组基础上实施预见性护理联合认知干预)。比较两组的护理效果。结果观察组的心绞痛发作频率及持续时间均明显优于对照组(P<0.05)。护理后,观察组的CSMS、HPLP-Ⅱ各项评分及总分均显著高于对照组(P<0.05)。结论预见性护理联合认知干预应用于AMI患者中,能够有效降低患者心绞痛发作频率,缩短心绞痛持续时间,提高患者自我管理能力,促进患者对健康行为的实施。

Objective To observe the effects of predictive nursing combined with cognitive intervention on the incidence of angina pectoris and self-management behavior in patients with acute myocardial infarction(AMI).Methods Seventy-six patients with AMI admitted in our hospital from January 2018 to January 2020 were selected and randomly divided into control group(38 cases,routine nursing)and observation group(38 cases,predictive nursing combined with cognitive intervention on the basis of the control group)by drawing lots.The nursing effects of the two groups were compared.Results The frequency and duration of angina pectoris in the observation group were significantly better than those in the control group(P<0.05).After nursing,the CSMS,HPLP-Ⅱscores and total score in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Predictive nursing combined with cognitive intervention applied in patients with AMI can effectively reduce the frequency of angina pectoris,shorten the duration of angina pectoris,improve the self-management ability of patients,and promote the implementation of health behavior of patients.