中医情志干预对急诊心肌梗死抢救患者心理状态的改善

Effect of Emotional Intervention of Traditional Chinese Medicine on Psychological State of Emergency Patients with Myocardial Unfarction

目的探讨中医情志干预对急诊心肌梗死抢救患者心理状态的改善效果。方法选择2018年1月-2020年1月在医院急诊抢救的60例心肌梗死患者,按抽签的方式,均分为对照组30例和观察组30例,分别予以常规干预和中医情志干预。比较并分析两组患者急诊室进出时间、住院时间及干预前后心理状态(SAS、SDS评分)、生存质量(SF-36)评分、干预后患者满意度评价情况。结果观察组患者进出急诊室时间、住院时间均短于对照组(P<0.05);干预前,两组心理状况、生活质量评分比较,差异均无统计学意义(P>0.05);干预后,观察组患者SAS评分、SDS评分均明显低于对照组(P<0.05);观察组患者SF-36评分明显高于对照组(P<0.05);观察组患者满意度评价明显高于对照组(P<0.05)。结论在急诊心肌梗死抢救患者中实施中医情志干预,能够有效缩短抢救时间和住院时间,利于患者恢复,同时还能显著缓解其不良情绪,提高患者生活质量和满意度,对促进患者康复有重要应用意义,其应用价值较高。在急诊工作中值得应用和推广,对预防医疗纠纷有重要意义。

Objective To explore the effect of emotional intervention of traditional Chinese medicine(TCM) on the psychological state of patients with emergency myocardial infarction. Methods From January 2018 to January 2020, 60 patients with myocardial infarction in our hospital were selected and divided into control group(30 cases) and observation group(30 cases) according to the way of drawing lots. The time of entering and leaving the emergency room, length of stay, psychological status(SAS, SDS), quality of life(SF-36) score and satisfaction of patients before and after intervention were compared and analyzed between the two groups. Results The time in and out of the emergency room and the length of stay of the observation group were shorter than those of the control group(P<0.05). Before the intervention, there was no statistically significant difference in the scores of psychological status or quality of life between the two groups(P>0.05). After the intervention, the SAS score and SDS score of the observation group were significantly lower than those of the control group(P<0.05). The SAS and SDS scores of the observation group were significantly lower than those of the control group(P<0.05). SF-36 score was significantly higher than that of the control group and the difference was statistically significant(P<0.05). The satisfaction evaluation of the observation group was significantly higher than that of the control group(P<0.05). Conclusion The implementation of TCM emotional intervention in the emergency treatment of patients with myocardial infarction can effectively shorten the rescue time and hospitalization time, which is conducive to the recovery of patients. At the same time, it can significantly alleviate their bad emotions, improve the quality of life and satisfaction of patients, which has important application significance in promoting the rehabilitation of patients, and its application value is high. It is worthy of application and promotion in emergency work, which is of great significance to the prevention of medical disputes.