老年急性心肌梗死患者PCI术围手术期护理干预的效果观察  

Clinical Effect of Nursing Intervention on the Elder Patients with Acute Myocardial Infarction in Peri-PCI Period

作　　者：李艳敏[1] 牛敬雪[2] 涂国红[1] 谢家兴[2] 殷容光[1] 谢雷星[3] 

机构地区：[1]解放军总医院南楼临床部心血管一科,北京100853 [2]中国康复研究中心护理部,北京100068 [3]解放军总医院心血管内科,北京100853

出　　处：《现代生物医学进展》2013年第9期1771-1774,共4页Progress in Modern Biomedicine

基　　金：军队"十二五"科技创新基金项目(11KMM54)

摘　　要：目的:探讨护理干预对老年急性心肌梗死患者经皮冠状动脉介入治疗(PCI)术后康复治疗和心理健康的影响。方法:将86例老年急性心肌梗死PCI术患者随机分为对照组和干预组。对照组进行常规护理,干预组在此基础上增加心理护理(包括术前、术中、术后心理护理干预)。比较两组患者在平均住院日、满意度、临床症状、焦虑程度、抑郁程度等的差别。结果:干预组患者平均住院天数明显减少,且患者满意度较高;干预组患者的临床症状明显减轻。干预组患者在经过心理护理后焦虑、抑郁程度明显减轻,与护理前相比差异有显著性;治疗后,干预组患者的焦虑、抑郁程度与对照组相比较轻(P<0.05)。结论:增加心理护理干预的患者治疗效果明显优于仅仅接受常规护理的患者,对促进PCI术后病人的康复和提高其生活质量有显著作用。Objective： To investigate the effect of nursing intervention on the follow-up rehabilitation and psychological health of patient after PCI. Methods： 86 patients with PCI therapy were randomly divided into two groups. 43 patients in control group were given conventional nursing. 43 patients in intervention group were given psychological nursing on the basis of conventional nursing. The average day in hospital, satisfaction, clinical symptoms, anxiety level and the depression degree of two groups of patients were compared. Results： The average day in hospital of intervention group were significantly less than that in the control group, while the degree of satisfaction is higher; Patients in the intervention group had less clinical symptoms and had lower level of anxiety and depression after treatment, and the level of anxiety and depression of the patients in intervention group were lower than that in the control group （P〈0.05）. Conclusion： The treatment effect in patients with psychological nursing intervention was better than those only accept conventional nursing care, and the psychological nursing has significant role in the rehabilitation of the patients after PCI.

关 键 词：急性心肌梗死 经皮冠状动脉介入 护理干预 疗效 

分 类 号：R542.22[医药卫生—心血管疾病] R473.5[医药卫生—内科学]