血管通路选择和护理干预对急性心肌梗死患者的焦虑、抑郁情绪的影响

Effect of vascular pathway selection and nursing intervention on anxiety and depression in patients with acute myocardial infarction in EICU

目的探讨急诊重症监护病房(emergency intensive care unit,EICU)急性心肌梗死患者血管通路选择与护理干预的效果以及对负面情绪的改善。方法遴选时段2020年4月~2021年4月内EICU急性心肌梗死患者200例,均经股动脉路径、桡动脉行经皮冠状动脉介入术,根据随机数字表法分2组,实施常规EICU护理措施100例(记对照组),配合针对性护理干预100例(记观察组)。两组患者的对比指标:患者焦虑抑郁评分、并发症率、生活质量评分。结果两组干预前焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)评分对比无统计学差异(P>0.05),观察组干预后SAS、SDS评分较对照组显著低(P<0.05);同时较对照组结果,观察组转出EICU时间、住院时间较明显更短,且抢救成功率较对照组更高,并发症率更低(P<0.05);观察组生活质量SF-36评分较对照组显著高(P<0.05)。结论EICU急性心肌梗死患者桡动脉路径并配合针对性护理干预,在改善焦虑抑郁等负面情绪、控制相关并发症发生方面具有显著价值,可实现提高患者预后,改善生存质量的目的。

Objective To explore the effect of vascular pathway selection and nursing intervention in patients with acute myocardial infarction in emergency intensive care unit(EICU),as well as the improvement of negative emotion.Methods During the selection period from April 2020 to April 2021,200 patients with acute myocardial infarction in EICU underwent percutaneous coronary intervention through the femoral artery and radial artery.They were divided into 2groups according to the random number table method,and 100 patients received routine EICU nursing measures.Example(remember the control group).Comparison indexes of the two groups:anxiety and depression score,complication rate and quality of life score.Results There was no significant difference in the scores of self rating Anxiety Scale(SAS)and self rating Depression Scale(SDS)between the two groups before intervention(P>0.05).The scores of SAS and SDS in the observation group were significantly lower than those in the control group after intervention(P<0.05).At the same time,compared with the control group,the transfer out time and hospitalization time of the observation group were significantly shorter,the rescue success rate was higher and the complication rate was lower than that of the control group(P<0.05).The SF-36 score of quality of life in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The radial artery pathway and targeted nursing intervention in patients with acute myocardial infarction in EICU has significant value in improving negative emotions such as anxiety and depression and controlling the occurrence of related complications.It can improve the prognosis and quality of life of patients.