摘要
目的探索双心照护模式对老年冠心病患者冠脉介入术后的不良心理状态与生活质量的影响。方法选取经皮冠状动脉介入术后患者64例,其中男41例,女23例,平均年龄73.45±3.26岁,随机分为观察组和对照组,对照组给予常规护理及心理健康教育指导,观察组在常规护理的基础上给予双心照护,3个月后分别比较两组患者一般临床资料、医院焦虑抑郁量表(HADS)、健康调查简表(SF-36)及满意度差异。结果(1)观察组与对照组的一般临床资料无明显差异(P>0.05)。(2)双心照护干预后,观察组焦虑、抑郁评分、SF-36评分、满意度评分均得到改善,差异均有统计学意义(P<0.05)。(3)相关性分析显示,干预后与出院前观察组HADS中焦虑、抑郁评分差值与患者的情感职能、精神健康评分差值均呈正相关(P<0.05)。结论双心照护模式不仅改善PCI手术后老年患者焦虑、抑郁的不良心理状态,提高患者的生活质量,而且这种心理健康的恢复与生活质量的转变存在正相关性。
Objective To explore the impact of dual-heart care model on the adverse psychological state and quality of life of elderly patients with coronary heart disease after coronary intervention.Methods A total of 64 patients after percutaneous coronary intervention were selected,including 41 males and 23 females,with an average age of 73.45±3.26 years.They were randomly divided into an observation group and a control group.The control group were given routine nursing and mental health education guidance,and the observation group was given double-heart care based on routine care,and the general clinical data,Hospital Anxiety and Depression Scale(HADS),Health Survey Short Form(SF-36)and satisfaction differences of the two groups of patients were compared after 3 months.Results(1)There was no significant difference in the general clinical data between the observation group and the control group(P>0.05).(2)Anxiety and depression scores,SF-36 scores,and satisfaction scores improved in the observation group after the dualheart care intervention,and the differences were all statistically significant(P<0.05).(3)Correlation analysis showed that the difference in anxiety and depression scores in the HADS between the post-intervention and pre-discharge observation groups was positively correlated with the difference in patients'emotional functioning and mental health scores(P<0.05).Conclusions The dual-heart care model not only improves the poor psychological state of anxiety and depression in elderly patients after PCI surgery but improves the patients’quality of life.But there is a positive correlation between the restoration of this mental health and the transformation of the quality of life.
作者
刘媛媛
张亚玲
王志强
李辉
LIU Yuanyuan;ZHANG Yaling;WANG Zhiqiang;LI Hui(The First Department of the Secondary Supply Room of the Disinfection Distribution Center,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,830011,China;School of Nursing,Xinjiang Medical University,Urumqi,830000,China;The Third Department of Comprehensive Internal Medicine,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,830011,China)
出处
《新疆医学》
2024年第8期1002-1007,共6页
Xinjiang Medical Journal
基金
新疆维吾尔自治区自然科学基金(项目编号:2018D01C209)
关键词
冠心病
经皮冠状动脉介入治疗术后
双心照护
老年患者
Corocary Heart Disease
Percutaneous Coronary Intervention
Double-heart care
Elderly patients
