摘要
目的 探究基于合作对话的病友互助模式对急性心肌梗死(AMI)合并房颤患者行急诊经皮冠状动脉介入术(PCI)后健康行为、心理状态、生活质量及并发症的影响。方法 回顾性选取海军军医大学第一附属医院2019年1月至2021年12月收治的186例行急诊PCI的AMI合并房颤患者作为研究对象,根据不同护理方法将其分为观察组与对照组,每组各93例。对照组实施常规护理干预,观察组在对照组基础上实施基于合作对话的病友互助模式干预。比较2组患者术后健康行为、心理状态、生活质量水平及并发症发生情况。结果 干预后2组患者健康行为能力自评量表(SRAHP)中心理安适、健康责任等维度评分均升高,且观察组患者心理安适、健康责任、营养、运动评分均显著高于对照组,差异有统计学意义(P<0.05);干预后2组患者焦虑自评量表(SAS)与抑郁自评量表(SDS)评分均降低,且观察组患者SAS与SDS评分均显著低于对照组,差异有统计学意义(P<0.05);干预后2组患者健康调查量表(F-36)评分均升高,且观察组患者SF-36评分显著高于对照组,差异有统计学意义(P<0.05);观察组患者并发症总发生率为1.08%,显著低于对照组的7.53%,差异有统计学意义(P<0.05)。结论 基于合作对话的病友互助模式能够提高行急诊PCI的AMI合并房颤患者健康行为能力与生活质量,改善其负面心理状态,降低其术后相关并发症发生率,值得临床推广应用。
Objective To explore the effects of cooperative dialogue-based wardmate mutual assistance on health behavior, psychological status, life quality and complications in the patients with acute myocardial infarction(AMI) plus atrial fibrillation following emergency coronary intervention.Methods One hundred and eighty-six AMI patients with atrial fibrillation who underwent percutaneous coronary intervention(PCI) from January 2019 to December 2021 in the hospital were retrospectively selected as study subjects. According to different nursing methods, the patients were divided into the observation group and the control group, eaching consisting of 93. The control group received conventional nursing, while the observation group was treated with cooperative dialoguebased wardmate mutual assistance intervention on the basis of the control group. Health behavior, mental status, life quality and complications were compared between the patients of the two groups.Results After intervention, the scores of such dimensions as psychological comfort, health responsibility and others in SRAHP scale in the two groups increased, with the scores of psychological comfort, health responsibility, nutrition and exercise in the observation group being significantly higher than those in the control group(P<0. 05). The scores of self-rating anxiety scale(SAS) and self-rating depression scale(SDS) in the patients of the two groups decreased, with the SAS and SDS scores of the observation group being significantly lower than those of the control group, and statistical significance could be noted when comparisons were made between the 2 groups(P<0. 05). The SF-36 scores in the two groups all increased after intervention, with the SF-36 scores in the observation group being significantly higher than those in the control group, also with statistical significance(P<0. 05). The total rate of complications in the observation group was 1. 08%, which was significantly lower than 7. 53% in the control group, also with statistical significance(P<0. 05).C
作者
王娜
黄松群
Wang Na;Huang Songqun(Department of Cardiology,First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)
出处
《海军医学杂志》
2023年第1期79-83,共5页
Journal of Navy Medicine
基金
上海市卫生健康委员会科研项目面上项目(202140497)。
关键词
合作对话
病友互助
急性心肌梗死
房颤
急诊冠状动脉介入术
Cooperative dialogue
Wardmate mutual assistance
Acute myocardial infarction
Atrial fibrillation
Emergency percutaneous coronaryintervention
