双心护理对急性心肌梗死患者IABP术后负性情绪及舒适度的影响观察

Observation on the Effect of Double Heart Care Applied to Acute Myocardial Infarction IABP Patients on Negative Emotions and Comfort Level

目的:探讨双心护理应用于急性心肌梗死患者主动脉球囊反搏泵(IABP)术后负性情绪及舒适度的影响观察。方法:选取2019年1月—2021年12月河南科技大学第一附属医院收治的72例急性心肌梗死IABP术后患者作为研究对象,随机分为常规组36例实施常规护理、观察组36例在常规护理基础上另给予双心护理,两组患者均持续治疗3个月后评价效果。采用医院焦虑抑郁量表(PANAS)评估患者焦虑抑郁情绪,比较患者舒适度(Kolcaba舒适量表评分)及并发症发生情况。结果:护理后,两组患者舒适度评分均升高,且观察组患者生理、心理精神、社会文化和环境评分均高于常规组,差异有统计学意义(t=12.099、6.118、2.864、2.278,P<0.05);护理后,两组患者PANAS评分较术前降低,且观察组患者PANAS评分低于常规组,差异有统计学意义(t=16.535,P<0.05);两组患者并发症发生情况比较,观察组患者并发症发生率明显低于常规组,差异有统计学意义(χ^(2)=3.863,P<0.05)。结论:对急性心肌梗死患者IABP术后采用双心护理,能够明显改善患者的舒适度和负性情绪,降低并发症发生率。

Objective:To investigate the observation of the effect of bicentric care applied to aortic balloon counterpulsation pump(IABP)patients with acute myocardial infarction on negative emotions and comfort.Methods:72 cases of acute myocardial infarction patients admitted to the hospital from January 2019 to December 2021 after IABP were selected as the most research subjects.Conventional care was given to 36 cases in the conventional group,and 36 cases in the observation group were given another bicentric care on the basis of the conventional group,The effect was evaluated after 3 months of continuous treatment in both groups.The patients’anxiety and depression were assessed using the Negative Affect Scale(PANAS scale).The patients’comfort(Kolcaba Comfort Scale)and the occurrence of complications were compared.Results:After the nursing care,the comfort scores of patients in both groups increased,and the physical,psycho-spiritual,socio-cultural and environmental scores of the observation group were higher than those of the conventional group,with statistically significant differences(t=12.099,6.118,2.864,2.278;P<0.05).After care,the PANAS of patients in the two groups was reduced compared with the preoperative period,the PANAS of the observation group was lower than that of the conventional group,and the difference was statistically significant(t=16.535,P<0.05).The complication rate of observation group was significantly lower than conventional group,with statistically significant difference(χ^(2)=3.863,P<0.05).Conclusion:Acute myocardial infarction patients with IABP after IABP with the same further use of bicentric care can significantly improve the comfort level and patients’negative emotions,and the reduction of complications.