基于概念重建理论的认知护理在急性心肌梗死患者介入术后的应用  

Application of cognitive nursing based on concept reconstruction theory in patients with acute myocardial infarction after interventional operation

作　　者：韩金桃 杨莹莹[1] 刘其可 焦傲[1] 陈亚娟[1] HAN Jintao;YANG Yingying;LIU Qike;JIAO Ao;CHEN Yajuan(The 7th People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州市第七人民医院

出　　处：《中国民康医学》2019年第14期132-134,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察基于概念重建理论的认知护理应用在急性心肌梗死患者介入术后的效果。方法:选取82例行急性心肌梗死介入术的患者作为研究对象,依据随机数字表法将其分为对照组和观察组各41例,对照组实施常规护理,观察组在对照组的基础上实施基于概念重建理论的认知护理,比较护理前后两组疾病认知水平、负性情绪及并发症发生情况。结果:护理后观察组的疾病认知问卷评分明显高于对照组,抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均明显低于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为7.32%(3/41),明显低于对照组的24.39%(10/41),差异有统计学意义(P<0.05)。结论:在常规护理的基础上实施基于概念重建理论的认知护理,可显著提高急性心肌梗死患者介入术后的疾病认知水平,明显改善患者的负性情绪,且减少并发症的发生率。Objective:To observe effects of cognitive nursing based on concept reconstruction theory in patients with acute myocardial infarction after interventional operation.Methods:82 patients with acute myocardial infarction treated by the interventional operation were selected as the study subjects.They were divided into control group(n=41)and observation group(n=41)according to the random number table method.The control group was given routine nursing,while the observation group was given the cognitive nursing based on the concept reconstruction theory on the basis of that of the control group.The cognitive levels,negative emotions and complications of the two groups were compared before and after the treatment.Results:After the nursing,the score of the illness perception questionnaire in the observation group were significantly higher than at in the control group;the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)were significantly lower than those in the control group;and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 7.32%(3/41),which was significantly lower than 24.39%(10/41)in the control group,and the difference was statistically significant(P<0.05).Conclusions:For the patients with acute myocardial infarction after the interventional operation,the cognitive nursing based on the concept reconstruction theory can significantly improve the illness perception level,significantly improve the negative emotions,and reduce the incidence of complications.

关 键 词：概念重建 认知护理 急性心肌梗死 介入手术 

分 类 号：R473.54[医药卫生—护理学]