心理护理在急性冠脉综合症合并焦虑症的应用  

Application of psychological nursing in acute coronary syndrome with anxiety

作　　者：徐芳[1] Xu Fang(The First Affiliated Hospital of Anhui Medical University,Hefei 230000,China)

机构地区：[1]安徽医科大学第一附属医院,安徽合肥230000

出　　处：《医学食疗与健康》2019年第4期17-18,共2页Medical Diet and Health

摘　　要：目的:探讨心理护理在急性冠脉综合征合并焦虑症的应用效果。方法:选取2016年3月~2017年09月于安徽医科大学第一附属医院心内科二病区急性冠脉综合征合并焦虑症患者72例,拟行PCI术,随机分为观察组和对照组,每组分为36例,观察组予普通护理,对照组于PCI术前及术后予以心理疏导,观察两组病人的焦虑情绪、依从性、疼痛时间及住院时间。结果:对照组患者的术前及术后的焦虑情绪优于观察组,两组患者HAMA及SAS评分具有统计学意义(p<0.01),对照组在术前及术后的依从性好于观察组,两组在依从性上具有统计学意义(p<0.01)。两组患者在住院时间及疼痛时间无统计学差异(p>0.05)。结论:心理疏导护理可以改善急性冠脉综合征PCI术患者的焦虑情绪和心绞痛症状,增加依从性,提高生活质量,有很大的临床意义。Objective:To explore the application effect of psychological nursing in acute coronary syndrome with anxiety disorder.METHODS:From March 2016 to September 2017,72 patients with acute coronary syndrome and anxiety disorder in the Department of Cardiology,the First Affiliated Hospital of Anhui Medical University,were selected.PCI was performed and randomly divided into observation group and control group.There were 36 cases in each group.The observation group received general care.The control group received psychological counseling before and after PCI.The anxiety,compliance,pain time and hospitalization time of the two groups were observed.RESULTS:The anxiety of preoperative and postoperative patients in the control group was better than that in the observation group.The HAMA and SAS scores of the two groups were statistically significant (p<0.01).The compliance of the control group before and after surgery was better than observation.Groups,the two groups were statistically significant(p <0.01).There was no significant difference in hospitalization time and pain time between the two groups(p>0.05).Conclusion: Psychological care can improve the anxiety and angina symptoms of patients with acute coronary syndrome PCI,increase compliance,improve quality of life,and has great clinical significance.

关 键 词：急性冠脉综合症 焦虑症 心理疏导护理 依从性 心绞痛 

分 类 号：R47[医药卫生—护理学]