结构式心理护理干预对急性心肌梗死患者的影响

Influence of Structural Psychological Nursing Intervention in Patients with Acute Myocardial Infarction

目的:探讨结构式心理护理干预对急性心肌梗死(AMI)患者的影响。方法:选择2020年1月1日~2021年6月30日收治的60例AMI患者为研究对象,根据随机数字表法分为观察组和对照组各30例,对照组采用常规急诊护理干预,观察组在对照组基础上给予结构式心理护理干预,两组均干预至出院;比较两组干预前后不良情绪[采用抑郁自评量表(SDS)、焦虑自评量表(SAS)]、自我护理能力[采用自我护理能力测定量表(ESCA)]、应激反应[包括心率(HR)、收缩压(SBP)、舒张压(DBP)、血清肾上腺素(E)]及干预后护理满意度。结果:干预后,两组SAS、SDS评分、HR、SBP、DBP、血清E、ESCA评分均优于干预前(P<0.05),且观察组优于对照组(P<0.05);观察组护理总满意度高于对照组(P<0.05)。结论:结构式心理护理干预可以有效降低AMI患者的应激反应,稳定其生命体征,缓解患者的不良情绪,提高其自护能力与护理满意度,护理效果显著。

Objective:To explore the influence of structural psychological nursing intervention in Acute Myocardial Infarction(AMI)patients.Methods:A total of 60 AMI patients admitted during January 1,2020 to June 30,2021 were selected as the study objects,and were divided into the observation group and the control group by the random number table method,with 30 cases in each group.The routine emergency care intervention was given to the control group,on the basis of the control group,structural psychological nursing intervention was given to the observation group,both groups were intervened until discharged.The SAS,SDS scores,ESCA scores and total scores,HR,SBP,DBP,and serum E levels of the two groups before and after the intervention were compared,nursing satisfaction after intervention was compared.Results:After the intervention,the SAS,SDS scores,HR,SBP,DBP,serum E levels and ESCA of the two groups were better than those before the intervention(P<0.05),and those in the observation group were better than those in the control group(P<0.05).And the total satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion:Structural psychological nursing intervention can effectively reduce the stress response of AMI patients,stabilize their vital signs,improve their bad mood,raise their self-care ability and nursing satisfaction,with significant nursing effect.