双心医学理念在PCI术后情绪障碍患者临床护理中的应用研究

Application of Double Heart Medicine in Clinical Nursing of Patients with Emotional Disorder After PCI

目的探讨双心医学理念在经皮冠状动脉介入术(PCI)后情绪障碍患者的负面情绪、情绪行为管理能力中的应用研究。方法选取揭阳市人民医院心血管内科60例患者,随机分为观察组和对照组,每组30例。对照组给予常规护理干预,观察组在对照组的基础上给予双心医学理念护理干预。比较干预前及干预7d后,两组患者焦虑情绪[状态-特质焦虑量表(STA)]、抑郁情绪[贝克抑郁量表(BDI)评分]、情绪行为管理能力[冠心病自我管理行为量表(CSMS)评分]的变化,随访3个月,分析两组患者心血管不良临床事件(MACE)发生情况的差异。结果干预7d后,两组SAI、TAI、BDI评分均较干预前有显著降低(P<0.05),且观察组明显低于同一时期对照组(P<0.05);观察组CSMS评分较干预前有显著升高,且观察组显著高于同一时间对照组(P<0.05)。随访术后3个月,两组患者MACE发生率比较均无统计学意义(P>0.05)。结论双心医学理念可有效减轻PCI术后情绪障碍患者焦虑、抑郁情绪,改善其情绪行为管理能力,对患者预后恢复可产生积极影响。

Objective To explore the application of the concept of dual heart medicine in the management of negative emotion and emotional behavior in patients with emotional disorder after percutaneous coronary intervention(PCI).Methods 60 patients in the Department of Cardiovascular Medicine of Jieyang People’s Hospital were randomly divided into observation group and control group,with 30 cases in each group.The control group was given routine nursing intervention,and the observation group was given double heart medical concept nursing intervention on the basis of the control group.Before and 7 days after the intervention,the changes of anxiety[State Trait Anxiety Scale(STAI)],depression[Baker Depression Scale(BDI)score]and emotional behavior management ability[coronary heart disease self-management behavior scale(CSMs)score]of the two groups were compared.The patients were followed up for 3 months to analyze the differences of adverse cardiovascular clinical events(MACE)between the two groups.Results After 7 days of intervention,the scores of Sai,Tai and BDI in the two groups were significantly lower than those before intervention(P<0.05),and the scores in the observation group were significantly lower than those in the control group at the same time(P<0.05);The CSMS score of the observation group was significantly higher than that of the control group at the same time(P<0.05).After 3 months of follow-up,there was no significant difference in the incidence of mace between the two groups(P>0.05).Conclusion The concept of dual heart medicine can effectively reduce the anxiety and depression of patients with emotional disorders after PCI,improve their emotional behavior management ability,and have a positive impact on the prognosis of patients.