认知行为干预与超早期康复护理对心肌梗死的价值

The value of cognitive behavior intervention and ultra-early rehabilitation nursing for patients with myocardial infarction

目的分析认知行为干预与超早期康复护理在心肌梗死患者中的应用价值,为心肌梗死的临床护理提供参考。方法选择2021年1月—2023年1月新泰市第三人民医院收治的90例心肌梗死患者,以随机数字表法分为对照组和研究组各45例。对照组实施常规护理,研究组实施认知行为干预与超早期康复护理。记录分析两组患者干预前后心功能指标、焦虑评分、睡眠质量评分以及生活质量评分。结果干预前,两组NT-proBNP、LVEF差异无统计学意义(P>0.05);干预后,研究组NT-proBNP低于对照组,LVEF高于对照组,差异均有统计学意义(P<0.05)。干预前,两组SAS、AIS评分差异无统计学意义(P>0.05);干预后,研究组SAS、AIS评分均低于对照组,差异均有统计学意义(P<0.05)。干预前,两组日常活动、睡眠、健康感觉及饮食评分差异无统计学意义(P>0.05);干预后,研究组日常活动、睡眠、健康感觉及饮食评分均优于对照组,差异均有统计学意义(P<0.05)。结论认知行为干预与超早期康复护理在心肌梗死患者中应用,可改善患者心功能,消除不良心理状态,提高睡眠及生活质量,值得临床推广应用。

Objective To analyze the value of cognitive behavioral intervention and ultra-early rehabilitation nursing for patients with myocardial infarction,to provide reference for the clinical nursing of myocardial infarction.Methods A total of 90 patients with myocardial infarction admitted to Xintai Third People's Hospital from January 2021 to January 2023 were selected and divided into control group and study group by random number table method,with 45 patients in each group.The control group received routine nursing,and the study group received cognitive behavioral intervention and ultra-early rehabilitation nursing.The cardiac function indicators,anxiety scores,quality of sleep scores and quality of life scores of two groups of patients before and after intervention were recorded and analyzed.Results Before intervention,there were no statistically significant differences in NT-proBNP and LVEF between the two groups(P>0.05);after intervention,the NT-proBNP in the study group was lower than that in the control group,and LVEF was higher than that in the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no statistically significant differences in SAS and AIS scores between the two groups(P>0.05);after intervention,the SAS and AIS scores of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no statistically significant differences in daily activities,sleep,health sensation and dietary scores between the two groups(P>0.05);after intervention,the daily activities,sleep,health sensation and dietary scores of the study group were better than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The application of cognitive behavioral intervention and ultra-early rehabilitation nursing in patients with myocardial infarction could improve the cardiac function of patients,eliminate negative psychological states and improve the quality of sleep and life,which was worthy of clinical promotion and application.