摘要
目的探讨双心护理模式对急性ST段抬高型心肌梗死(ASTEMI)患者经皮冠状动脉介入(PCI)术后负性情绪及自护能力的影响。方法选取2017年12月至2018年8月于我院接受PCI治疗的92例ASTEMI患者,根据入院时间先后顺序分为对照组(n=46,给予常规模式护理干预)和研究组(n=46,对照组基础上实施双心护理模式的护理干预)。比较两组干预期间的治疗依从性,干预前后汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、自我护理能力测定量表(ESCA)、生活质量综合评定问卷(GQOLI-74)评分变化情况。结果研究组治疗依从性为95.65%,高于对照组的80.43%,组间差异有统计学意义(P<0.05)。干预后,两组HAMD、HAMA评分均低于干预前,且研究组低于对照组(均P<0.05);两组ESCA、GQOLI-74评分均高于干预前,且研究组高于对照组(均P<0.05)。结论双心护理模式能显著缓解ASTEMI患者PCI术后的抑郁、焦虑情绪,改善治疗依从性,提高患者自护能力,从而有效改善患者的生活质量。
Objective To investigate the effect of dual-heart care model on negative emotion and self-care ability after percutaneous coronary intervention(PCI)in patients with acute ST-segment elevation myocardial infarction(ASTEMI).Methods A total of 92 patients with ASTEMI underwent PCI in our hospital from December 2017 to August 2018 were enrolled.According to the order of admission time,it is divided into a control group(n=46,regular nursing intervention)and a study group(n=46,dual-heart nursing intervention based on the control group)Based on the nursing intervention of the dual-heart care model.The changes of treatment compliance,Hamilton Depression Rating Scale(HAMD),Hamilton Anxiety Scale(HAMA),Exercise of Self-care Agency Scale(ESCA),and Generic Quality of Life Inventory-74(GQOLI-74)were compared between the two groups.Results The treatment compliance rate of the study group(95.65%)was higher than that of the control group(80.43%),the difference was statistically significant(P<0.05).After the intervention,the scores of HAMD and HAMA were lower than those before the intervention,and the study group was lower than the control group(all P<0.05).The ESCA and GQOLI-74 scores of the two groups were higher than before the intervention,and the study group was higher than the control group(all P<0.05).Conclusion The dual-heart care model can significantly reduce depression and anxiety after PCI in patients with ASTEMI,improve treatment compliance,improve patient self-care ability,and effectively improve patients'quality of life.
作者
牛爱军
NIU Aijun(Shenyang Tenth People's Hospital,Shenyang Chest Hospital,Shenyang 110044,China)
出处
《中国医药指南》
2020年第25期150-152,共3页
Guide of China Medicine
关键词
急性ST段抬高型心肌梗死
双心护理模式
抑郁情绪
焦虑情绪
自护能力
治疗依从性
Acute ST-segment elevation myocardial infarction
Dual-heart nursing model
Depression
Anxiety
Self-care ability
Treatment compliance
