心理护理对老年心肌梗死患者焦虑、抑郁情绪的改善作用

Effect of Psychological Nursing on Anxiety and Depression in Elderly Patients with Myocardial Infarction

目的 分析给予老年心肌梗死患者心理护理对于抑郁、焦虑等情绪的改善效果。方法 本次探究对象为我院2018年7月至2019年7月接诊的58例老年心肌梗死患者,通过随机数表法将研究对象分成例数相同的研究组和对照组,分别实施不同的护理措施。对照组29例接受基础护理,研究组29接受心理护理,评价护理期间两组老年心肌梗死的焦虑与抑郁情况、护理满意度和生活质量。结果 经统计发现,研究组不满意1例,满意7例,非常满意21例,满意度为96.55%,对照组不满意6例,满意12例,非常满意11例,满意度为79.31%,组间的护理满意度比较差异有统计学意义(χ^(2)=4.0616,P=0.0438)。SF-36量表评估结果显示,研究组的躯体角色为(88.25±4.19)分,情绪角色为(84.11±2.04)分,肢体疼痛评分为(88.38±4.03)分,心理卫生为(88.19±3.72)分,总健康为(87.12±4.06)分,对照组的躯体角色为(85.54±4.68)分,情绪角色为(81.36±3.76)分,肢体疼痛评分为(85.85±3.89)分,心理卫生为(85.55±3.68)分,总健康为(84.14±4.47)分,各项评分差异均有统计学意义,(t=2.3232、3.4619、2.4324、2.7169、2.6575,P=0.0238、0.0010、0.0182、0.0102、0.0087)。两组护理前的不良情绪评分差异无统计学意义,P> 0.05;护理后研究组不良情绪评分低于对照组,差异有统计学意义,P <0.05。结论 通过实施心理护理能够促进老年心肌梗死患者焦虑、抑郁等负面情绪的改善,同时还可提升护理满意度与生活质量。

Objective To analyze the effect of psychological nursing on depression, anxiety and other emotions in elderly patients with myocardial infarction. Methods The subjects of this study were 58 elderly patients with myocardial infarction who were consulted in our hospital from July 2018 to July2019. The subjects were divided into a research group and a control group with the same number of cases through a random number table, implement different nursing measures. Twenty-nine patients in the control group received basic nursing care, and 29 patients in the research group received psychological nursing. The anxiety and depression, nursing satisfaction and quality of life of the two groups of elderly patients with myocardial infarction were evaluated during nursing. Results According to statistics, the research group found that 1 case was dissatisfied, 7 cases were satisfied, 21 cases were very satisfied, and the satisfaction rate was 96.55%. In the control group, 6 cases were dissatisfied, 12 cases were satisfied, 11 cases were very satisfied, and the satisfaction rate was 79.31%, there was a statistical difference in nursing satisfaction between the groups(χ^(2)=4.0616, P=0.0438). The evaluation results of SF-36 scale showed that the physical role of the research group was(88.25±4.19), the emotional role was(84.11±2.04), the limb pain score was(88.38±4.03), and the mental health was(88.19±3.72), the total health was(87.12±4.06), the physical role of the control group was(85.54±4.68), the emotional role was(81.36±3.76), the limb pain was(85.85±3.89), and the mental health was(85.85±3.89)(85.55±3.68) points, total health was(84.14±4.47) points, all scores were statistically significant difference(t=2.3232, 3.4619,2.4324, 2.7169, 2.6575, P=0.0238, 0.0010, 0.0182, 0.0102, 0.0087). There was no significant difference in the scores of adverse emotions between the two groups before nursing, P>0.05. After nursing, the bad mood score of the study group was lower than that of the control group, the difference was statistically significant, P<0.05. Conclusion Elderly myocardial infarction has the characteristics of severe symptoms and difficult recovery, which can be life-threatening in severe cases, so the negative emotions are more serious. The implementation of psychological nursing can promote the improvement of patients’ anxiety, depression and other negative emotions, and can also improve nursing satisfaction. and quality of life.