急性心肌梗死中协同护理干预的策略及临床意义  

The effect of collaborative care intervention for patients with acute myocardial infarction

作　　者：雷震霞[1] 

机构地区：[1]上海长征医院门诊部,上海200003

出　　处：《中西医结合护理（中英文）》2017年第1期65-68,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨协同护理干预应用于急性心肌梗死患者对其心功能及负性情感状况的影响。方法 86例急性心肌梗死患者随机分为研究组和对照组,各43例。对照组给予常规护理干预,研究组在对照组的基础上开展协同护理干预。观察2组入院时及干预后第7 d末的左心室射血分数(LVEF)和N末端B型钠尿肽前体(NT-pro BNP)值及汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分。结果干预后,2组LVEF值均提高,NT-pro BNP值均下降,且研究组LVEF值高于对照组,NT-pro BNP值低于对照组,差异均有统计学意义(P<0.01)。干预后,2组HAMA和HAMD评分均降低,且研究组HAMA和HAMD评分均低于对照组,差异均有统计学意义(P<0.01)。结论急性心肌梗死患者采取协同护理干预,有助于改善心功能,缓解消极情感状况。Objective To investigate the effect of collaborative nursing intervention on cardiac function and negative emotion of patients with acute myocardial infarction（ AM I）. Methods A total of 86 AM I patients were randomly divided into study group and control group,with 43 cases in each group. Both twogroups received routing nursing care during treatment,while the collaborative nursing interventions were carried out in the study group. The left ventricular shoot ejection fraction（ LVEF）,N-terminal pro-B-type natriuretic peptide（ NT pro BNP） value,score of Hamilton anxiety scale（ HAM A） and Hamilton depression Scale（ HAM D） were recorded on admission day and 7 days after intervention in both twogroups. Results Patients in the study group received higher LVEF and lower NT-pro BNP value compared with those in the control group after intervention,with a significant difference（ P〈0. 01）. The score of HAM A and HAM D were decreased in both twogroups after intervention,and were lower in the study group than those in the control group,with a significant difference（ P〈0. 01）. Conclusion Collaborative care intervention is helpful to improve cardiac function and relieve the negative emotion situation of AM I patients.

关 键 词：急性心肌梗死 协同护理 心功能 负性情绪 

分 类 号：R473.5[医药卫生—护理学]