护理干预对心肌梗死患者心理健康及生活质量的影响研究  

Effect of nursing intervention on mental health and quality of life in myocardial infarction patients

作　　者：张渝[1] 万阿娟[1] 

机构地区：[1]解放军总医院南楼心内科,北京100853

出　　处：《中国循证心血管医学杂志》2016年第2期235-237,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的探讨护理干预对心肌梗死患者的心理健康及生活质量影响。方法选择解放军总医院2011年12月至2014年12月收治的心肌梗死患者90例,随机分成观察组和对照组,每组45例患者,对照组采取常规护理,观察组采取护理干预。采取症状自评量表(SCL-90)及生活质量综合评定量表(GQOLI-74)对两组患者进行评定,比较两组患者干预前后的心理健康及生活质量差异。结果经过干预后,观察组焦虑、抑郁、强迫、敌对、偏执、躯体化、其他评分均低于对照组,差异有统计学意义(P均<0.05)。观察组干预后患者躯体功能、睡眠、饮食功能、运动和感觉、心理功能评分均高于对照组,差异有统计学意义(P均<0.05)。观察组干预后精神紧张、不适感评分均低于对照组,差异有统计学意义(P均<0.05)。结论护理干预较常规护理明显改善患者的生活质量和心理健康。Objective To study the effect of nursing intervention on mental health and quality of life in patients with myocardial infarction. Methods 90 myocardial infarction patients from People＇s Liberation Army General Hospital between Dec. 2011 to 2014 were randomly divided into observation group and control group. The control group received routine nursing care, while the observation group received nursing intervention. Mental health and quality of life in two groups were compared by ＂Symptom Check List 90＂（SCL-90） and ＂Generic Quality of Life Inventory-74＂（GQOLI-74）. Results After intervention, scores of observation group were lower than the control group in anxiety, depression, compulsion, hostility, paranoid, and other（P〈0. 05）, but were higher in the body function, sleep, mental stress, diet, exercise and sensory, psychological function（P〈0. 05）. And score of discomfort in the observation group were lower than those in the control group（P〈0. 05）. Conclusion Nursing intervention can significantly improve patient＇s mental health and quality of life of patients compared with routine nursing.

关 键 词：护理干预 心肌梗死 心理健康 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]