人性化护理措施对急性心肌梗死患者急性期心理状态的影响  

Effect of nursing intervention on acute mental state in acute myocardial infarction patients

作　　者：詹艳[1] 任金梅[1] 李梓香[1] 

机构地区：[1]湖北医药学院附属太和医院心血管内科,湖北十堰442000

出　　处：《蚌埠医学院学报》2014年第5期671-674,共4页Journal of Bengbu Medical College

摘　　要：目的:观察护理干预对急性心肌梗死(AMI)患者急性期心理状态的影响。方法:将AMI患者80例随机分为干预组与对照组。对照组实施常规护理,干预组给予人性化护理措施。所有患者入院后当天行焦虑自评量表(SAS)、症状自评量表(SCL-90)评定,住院7 d后再进行第2次评定。结果:干预组实施人性化护理措施后SAS评分较干预前显著降低(P<0.01),且干预组下降幅度较对照组更明显(P<0.01);SCL-90中躯体化、强迫症状、人际关系、抑郁、焦虑、恐惧、精神病症、其他等因子评分均较干预前明显降低(P<0.01)。2组患者SCL-90评分在躯体化、人际关系、抑郁、恐惧、偏执和其他等因子得分间差异均有统计学意义(P<0.01)。结论:人性化护理措施能够显著降低AMI患者的焦虑、抑郁、恐惧等不良情绪反应。Objective： To observe the impact of nursing intervention on acute mental state in acute myocardial infarction（ AMI）patients. Methods： Eighty AMI cases were randomly divided into intervention and control groups. The patients in intervention group were given humane care measures,the implementation of routine care in control group. All patients were evaluated by SAS and SCL-90 when they hospitalized,then do the second assessment after seven days. Results： In intervention group,after the patients were received humane care measures,the SAS score was significantly lower than before intervention（ P〈0. 01）,and the decline in intervention group was significantly more than in control group（ P〈0. 01）; the SCL-90 scores of somatization,obsessive-compulsive symptoms,interpersonal relationships,depression,anxiety,fear,mental illness and other factors after intervention were significantly lower than before intervention（ P〈0. 01）. There were statistical significances about the SCL-90 scores of somatization,interpersonal relationship,depression,fear,paranoia and other factors between the two groups（ P〈0. 01）. Conclusions： Humane care measures can significantly reduce AMI patient＇s anxiety,depression,fear and other negative emotions reactions.

关 键 词：心肌梗死 护理干预 心理状态 

分 类 号：R542.22[医药卫生—心血管疾病]