摘要
目的:探讨中医耳穴压豆联合双心护理在急性心肌梗死经皮冠状动脉介入治疗(PCI)后患者中的应用。方法:选取2023年3月—2024年3月汕头市中医医院心血管病科收治的180例急性心肌梗死PCI后患者。根据随机数表法将其分为参照组和试验组,各90例。参照组接受常规护理,试验组在参照组基础上给予中医耳穴压豆联合双心护理。比较两组护理前后睡眠情况、心功能指标、负性情绪。结果:护理后,试验组睡眠时间、睡眠效率、睡眠障碍、睡眠质量评分均低于参照组,差异有统计学意义(P<0.05)。护理后,试验组左心室收缩末期容积(LVESV)、左心室舒张末期容积(LVEDV)均低于参照组,左室射血分数(LVEF)高于参照组,差异有统计学意义(P<0.05)。护理后,试验组焦虑、抑郁评分均低于参照组,差异有统计学意义(P<0.05)。结论:双心护理联合中医耳穴压豆方案具有良好的应用效果。该种干预形式使得急性心肌梗死PCI术后患者睡眠情况改善,并且心理压力获得有效缓解。同时,联合护理在促进患者心功能提升方面优势显著。
Objective:To discuss the application of Chinese medicine ear point compression bean combined with double heart nursing in patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Method:A total of 180 patients with acute myocardial infarction after PCI admitted to the Cardiovascular Department of Shantou Hospital of Traditional Chinese Medicine from March 2023 to March 2024 were selected.According to random number table method,they were divided into reference group and experimental group,90 cases in each group.The reference group received routine nursing,and the experimental group was given Chinese medicine ear point compression bean combined with double heart nursing on the basis of the reference group.Sleep condition,cardiac function index and negative emotion before and after nursing were compared between the two groups.Result:After nursing,sleep time,sleep efficiency,sleep disorder and sleep quality scores of experimental group were lower than those of reference group,the differences were statistically significant(P<0.05).After nursing,left ventricular end-systolic volume(LVESV)and left ventricular end-diastolic volume(LVEDV)in experimental group were lower than those in reference group,and left ventricular ejection fraction(LVEF)was higher than that in reference group,the differences were statistically significant(P<0.05).After nursing,anxiety and depression scores of experimental group were lower than those of reference group,and the differences were statistically significant(P<0.05).Conclusion:Double heart nursing combined with Chinese medicine ear point compressing bean has a good application effect.This kind of intervention can improve the sleep condition of patients with acute myocardial infarction after PCI and effectively relieve the psychological pressure.At the same time,combined nursing has significant advantages in promoting the improvement of patients'cardiac function.
作者
吴奕琳
林莎
麦晓珩
赖凤美
陈素燕
WU Yilin;LIN Sha;MAI Xiaoheng;LAI Fengmei;CHEN Suyan(Shantou Hospital of Traditional Chinese Medicine,Shantou 515000,China;不详)
出处
《中外医学研究》
2024年第28期82-86,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
急性心肌梗死
经皮冠状动脉介入治疗
中医耳穴压豆
双心护理
Acute myocardial infarction
Percutaneous coronary intervention
Chinese medicine ear point compressing bean
Double heart nursing
