护理干预对心脏介入患者心理情感障碍的影响及研究  

The effects of nursing intervention on mood related disorders of patients receiving cardiac intervention therapy

作　　者：聂明卿 

机构地区：[1]广东省汕头市第二人民医院内二科,广东汕头515041

出　　处：《中国现代医生》2014年第23期75-77,共3页China Modern Doctor

基　　金：广东省汕头市重点科技计划项目(汕府科[2010]63号)

摘　　要：目的探讨心脏介入患者心理情感障碍的特点和护理干预措施。方法选择60例心血管介入患者为研究对象,随机分为两组,各30例。观察组除常规护理外再给予系统的护理干预,对照组只行常规护理,在干预前和干预后分别采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者进行焦虑抑郁评分,动态观察患者心电图、心肌酶谱、心律失常和心绞痛发生率、再梗死率和死亡率等各项指标。结果观察组患者干预后SAS和SDS评分低于对照组,观察组患者焦虑与抑郁发生率低于对照组(P<0.01);观察组身体恢复的各项指标较对照组好,差异有统计学意义(P<0.05)。结论实施系统的护理干预能有效缓解术前焦虑抑郁等负性情绪,降低心绞痛、心律失常及心源性猝死等并发症的发生率,促进术后康复,优于一般心理护理。Objective To investigate the nursing intervention approach on mood related disorders occurred in patients receiving cardiac intervention therapy. Methods Sixty patients receiving cardiac intervention therapy were randomly divided into two groups, 30 patients per group respectively. Patients in nursing intervention group experienced basic nursing follow by psychological nursing. However, basic nursing methods were applied in control group only. Mood related disorders were evaluated with psychology rating scale, including Self-Rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS）. Meanwhile, cardiac function index, including ECG, myocardial enzymes, the incidence of arrhythmias and angina, reinfarction and mortality rate were recorded for analyzing. Results The score of anxiety and depression self rating scale in nursing intervention group were significantly decreased than that in control group （P〈 0.01 ）. The index reflecting cardiac function in nursing intervention group were lower than that in control group, even compared with itself before （P〈0.05）. Conclusion The results of this study indicate psychological nursing could alleviate anxiety and depression commonly occurring in patients experienced cardiac intervention therapy and enhance recovery rate as well as long-lasting rehabilitation, which suggest psychological nursing is practical and valuable approach for patients with cardiovascular disease.

关 键 词：心脏介入 心理情感障碍 护理干预 

分 类 号：R541.4[医药卫生—心血管疾病]