应激系统理论下的护理干预在ST段抬高型心肌梗死介入治疗后患者中的应用

Application of Nursing Intervention under Stress System Theory in Patients with ST-segment Elevation Myocardial Infarction after Interventional Treatment

目的:探讨应激系统理论下的护理干预对ST段抬高型心肌梗死(STEMI)介入治疗后患者的影响.方法:选取2021年1月至2023年12月本院收治并行介入治疗的92例STEMI患者为研究对象.根据护理方式将其分为观察组(n=46,实施应激系统理论下的护理干预)和对照组(n=46,仅实施常规护理).收集两组患者心理弹性、日常生活能力评估结果、统计不良心血管事件发生结果,并加以对比研究.结果:出院时,两组患者心理弹性量表(CD-RISC)评分、日常生活能力量表(ADL)评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组患者术后不良心血管事件发生率低于对照组,差异有统计学意义(P<0.05).结论:STEMI介入治疗后实施应激系统理论下的护理干预,能更好地提高患者心理弹性,帮助患者日常活动能力恢复,并能减少术后不良心血管事件的发生.

Objective:To explore the impact of nursing interventions under the stress system theory on patients with ST-segment elevation myocardial infarction(STEMI)after interventional treatment.Methods:A total of 92 STEMI patients who underwent interventional therapy in our hospital from January 2021 to December 2023 were selected as the research objects.They were divided into observation group(n=46,nursing intervention under the stress system theory)and control group(n=46,only received routine nursing)according to the nursing methods.The evaluation results of connor-davidson resilience scale(CD-RISC)and activity of daily living scale(ADL)from two groups of patients were collected,and the incidence of adverse cardiovascular events were calculated.Results:At discharge,the CD-RISC and ADL scores of both groups of patients were higher than those before intervention,and observation group was higher,and the differences were statistically significant(P<0.05).The incidence of postoperative adverse cardiovascular events in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:Implementing nursing interventions under the stress system theory after STEMI intervention therapy can better improve the psychological resilience of the patients,help them recover their daily activity abilities,and reduce the occurrence of postoperative adverse cardiovascular events.