综合干预对老年急性冠脉综合征患者生活质量的影响  

Effect of comprehensive intervention on quality of life in elderly patients with acute coronary syndrome

作　　者：张娜[1] 甄莉莉[1] 

机构地区：[1]解放军总医院南楼心血管一科一病区,北京100853

出　　处：《中华现代护理杂志》2011年第27期3264-3266,共3页Chinese Journal of Modern Nursing

摘　　要：目的通过对老年急性冠脉综合征（ACS）患者进行负性情绪干预，分析其对生活质量（QOL）的影响。方法将80例老年ACS患者随机分为干预组（40例）和对照组（40例），均接受正规的ACS常规治疗。对照组按照心内科护理常规进行护理和健康指导；干预组在此基础上增加认知、行为、家庭社会支持等综合干预。采用Zung焦虑自评量表（SAS）、抑郁自评量表（SDS）和生活质量指数评定量表（QOL）分别于入院3天内及出院前对两组患者进行评估。结果入院后3d内两组患者SAS、SDS评分比较差异均无统计学意义（P〉0．05）；出院前干预组SAS评分（44．58±8．08）分，较对照组评分（54．82±12．06）分显著下降，差异有统计学意义（t=-4．46，P〈0．01），SDS评分也较对照组下降，差异有统计学意义[（42．13±6．75）分比（50．25±11．16）分；t=-3．94，P〈0．01]；生活质量各维度评分显著高于对照组差异均有统计学意义（P〈0．05）。结论临床护理人员可根据SAS、SDS对老年ACS患者进行抑郁和焦虑情绪评定，从而对负性情绪实施综合干预，可显著改善患者的负性情绪状态，促进患者康复，全面提高患者的生活质量。Objective To analyze the effect of comprehensive intervention measurements on quality of life in elderly patients with acute coronary syndrome（ACS）. Methods 80 cases of ACS randomly divided into intervention group（ n = 40） and control group（ n = 40 ）. All the patients received standard ACS treatment. The patients in two groups were given commonly cardiologic nursing care and healthy direction and beyond that the patients in intervention group received combined intervention measurement of cognition, behaviour, home-society support. Zung self-rating anxiety scale （ SAS ） , self rating depression scale （ SDS ） and quality of life index （QOL） were taken to evaluate the psychological state of patients respectively within 3 days after admission and before hospital discharge. Results The differences of the SAS, SDS scores between the two groups within 3 days in hospital were not statistically significant（ P 〉 0. 05 ） The SAS score in intervention group decreased much more compared with control group before hospital discharge [ （ 44.58 ± 8.08 ） vs （ 54.82 ± 12.06 ） ] , there was statistically significant differenee（t = -4. 46,P 〈0. 01 ）, and the same result to the score on SDS[ （42.13 ± 6.75 ） vs （ 50.25 ± 11.16） 1 , there was statistically significant difference （ t = - 3.94, P 〈 0. 01 ） , the scores on QOL in intervention group were higher than control group （ P 〈 0.05 ）. Conclusions Clinic nursing staff can evaluate depression and anxiety of elderly patients with ACS using SAS and SDS. Then they can give nursing interventions aiming at negative emotion in order to improve the psychological status, to improve the rehabilitation of disease and to enhance the life quality of patients.

关 键 词：老年人 急性冠脉综合征 生活质量 负性情绪 护理干预 

分 类 号：R541.4[医药卫生—心血管疾病]