协同护理模式对老年心肌梗死患者心理弹性以及焦虑、抑郁水平的影响  

Effect of Collaborative Care Model on Mental Resilience,Anxiety and Depression Levels in Senile Patients with Myocardial Infarction

作　　者：黄玲[1] 沈兰[1] 刘琦 HUANG Ling;SHEN Lan;LIU Qi(Department of Cardiovascular and Cerebrovascular Diseases,Leshan Hospital of Traditional Chinese Medicine,Leshan 614000,China)

机构地区：[1]四川省乐山市中医医院心脑血管病科

出　　处：《中国健康心理学杂志》2018年第8期1194-1197,共4页China Journal of Health Psychology

摘　　要：目的：探究对心肌梗死患者采用协同护理对心理弹性以及焦虑抑郁水平的影响,探究心肌梗死患者的高效护理方法。方法：探究对象选择2014年5月-2016年5月期间于我院进行治疗与康复的100例心肌梗死患者,对病历资料进行回顾性分析,将实施常规护理的50例患者设为对照组,实施协同护理的50例患者设为观察组。比较两组患者护理前后焦虑、抑郁等心理状态评分,评价两组患者护理前后的心理弹性,检测脑钠素N端前体肽（NT-proBNP）以及左心室射血（LEVF）评价护理前后心脏功能,并记录两组治疗期间心血管事件发生情况。结果：两组护理前后焦虑（SAS）、抑郁（HAMD）评分差异显著,护理后观察组SAS、HAMD评分分别显著低于对照组,有统计学意义（t=-8.725,-9.173;P〈0.001）;观察组护理前后心理弹性量表（CD—RISC）得分差异显著,对照组差异不明显,护理后观察组显著高于对照组,有统计学意义（t=22.005,P〈0.001）;两组护理前后NT-proBNP水平以及LEVF差异显著,护理后观察组NT-proBNP水平显著低于对照组,有统计学意义（t=-13.617,P〈0.001）,LEVF无显著性差异;观察组心血管事件发生率为12.00%,显著低于对照组（36.00%）,有统计学意义（χ~2=7.895,P〈0.01）。结论：运用协同护理模式能显著提升患者心理弹性,降低焦虑、抑郁等不良心理状态,增强心脏功能、降低心血管事件发生率,为心肌梗死患者的预后起到辅助作用。Objective：To study effect of collaborative care on resilience,anxiety and depression of patients with myocardial infarction,so as to explore effective nursing methods for treating senile patients with myocardial infarction.Method：A total of 100 cases of patients with myocardial infarction treated and recovered in our hospital since May 2014 to May 2016 were selected as object of the study,and respective analysis was conducted on case data of these patients.50 cases of patients provided with conventional nursing were set as control group,while the other 50 cases of patients provided with collaborative care were set as observation group.Patients in two groups were compared for scores of psychological state like anxiety and depression before and after nursing,and were evaluated for resilience before and after nursing.What＇s more,they were also examined for N-terminal pro-B-type natriuretic peptide（NT-proBNP）and left ventricular ejection（LEVF）for evaluating cardiac function before and after nursing.Incidence of cardiovascular events of both groups during treatment were recorded.Results：There were significant differences in anxiety（SAS）and depression（HAMD）scores between two groups before and after nursing,and after nursing,the SAS and HAMD scores of observation group were significantly lower than those in control group（t=-8.725,-9.173,P〈0.001）.There were significant differences in scores of Connor-Davidson resilience scale（CD-RISC）in observation group before and after nursing,while there were no differences befroe and after nursing in control group;after nursing,scores of CD-RISC in the observation group was distinctly higher than that in control group,having statistical significance（t=22.005,P〈0.001）.There was a significant difference in NT-proBNP level and LEVF between the two groups before and after nursing;after nursing,NT-proBNP level of observation group was distinctly lower than that of control group（t=13.617,P〈0.001）.There was no significant difference in LEVF.The

关 键 词：心肌梗死 协同护理 心理弹性 老年患者 

分 类 号：R395.9[哲学宗教—心理学]