心脏康复护理对急性心肌梗死患者心理状态和并发症的影响  

Impact of cardiac rehabilitative nursing care on psychological state and incidence rates of major adverse cardiovascular events in patients with acute myocardial infarction

作　　者：刘熔雪[1] 江小燕[1] 马兴群[1] 梁婷[1] 

机构地区：[1]四川省医学科学院四川省人民医院心内科,四川成都610072

出　　处：《心血管康复医学杂志》2011年第4期350-352,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨心脏康复护理对急性心肌梗死(AMI)患者心理状态和并发症发生率的影响。方法:84例AMI患者被随机分为常规护理组和康复护理组,各42例;分别予以常规护理和心脏康复护理,通过焦虑自评量表(SAS)和抑郁自评量表(SDS)对两组患者在护理前和治疗一周、二周后进行评分;同时记录两组患者主要不良心血管事件(MACE)发生率;将所得数据进行统计分析。结果:康复护理组患者SAS[一周后(52.20±6.15)分,二周后(39.54±7.29)分]和SDS[一周后(42.90±5.31)分,二周后(35.23±5.12)分]评分显著低于常规护理组的[SAS:一周后(61.8±5.84)分、二周后(58.62±7.40)分,SDS:一周后(49.35±5.08)分、二周后(46.25±5.43)分],P均<0.01;且MACE发生率显著低于常规护理组(P<0.05)。结论:在没有并发症的急性心肌梗死患者中实施心脏康复护理能够改善患者心理状态,减少主要不良心血管事件的发生。Objective：To investigate the impact of cardiac rehabilitative nursing care on psychological state and incidence rates of major adverse cardiovascular events（MACE） in patients with acute myocardial infarction（AMI）.Methods：A total of 84 AMI cases were randomly divided into routine nursing care group（n=42） and rehabilitative nursing care group（n=42）,and they were given routine care and routine care＋cardiac rehabilitative care respectively.All patients were evaluated with self-rating anxiety scale（SAS） and self-rating depression scale（SDS） before,one week and two weeks after nursing care,meanwhile the incidence rates of MACE were recorded and statistically analyzed in the two groups.Results：Scores of SAS [one week（52.20±6.15） scores,two weeks（39.54±7.29） scores] and SDS [one week（42.90±5.31） scores,two weeks（35.23±5.12） scores] in rehabilitative nursing care group were significantly lower than those in routine nursing care group [SAS：one week（61.8±5.84） score,two weeks（58.62±7.40） scores,SDS：one week（49.35±5.08） scores,two weeks（46.25±5.43） scores],P〈0.01 all.Incidence rates of MACE in rehabilitative nursing care group were significantly lower than those of routine nursing care group（P〈0.05）.Conclusion：Cardiac rehabilitative nursing care can improve psychological states and reduce MACE incidence in AMI patients without complications.

关 键 词：康复护理 心肌梗塞 焦虑 抑郁 

分 类 号：R473.5[医药卫生—护理学]