积极心理护理法在急性冠脉综合征患者中的应用疗效研究  

Application of positive psychological nursing in patients with acute coronary syndrome

作　　者：袁晖[1] 于琛[2] 朱祥苓 Yuan Hui;Yu Chen;Zhu Xianglin(Fourth Department of Health Care,Qingdao Municipal Hospital,Qingdao 266000,China)

机构地区：[1]青岛市市立医院保健四科,青岛266000 [2]青岛市市立医院皮肤病防治院,青岛266000 [3]青岛市市立医院东院区心内一科,青岛266000

出　　处：《中国循证心血管医学杂志》2019年第9期1125-1128,共4页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的探讨积极心理护理法在急性冠脉综合征(ACS)患者中的应用疗效。方法选取青岛市市立医院于2017年1月至2018年10月收治的ACS患者140例,按入院先后顺序分为对照组和观察组,每组各70例。对照组按心内科常规护理,观察组在对照组的基础上实施积极心理护理。比较两组患者遵医行为评分及住院期间主要不良心血管事件(MACE)发生率、护理前后评价中文版总体幸福感量表(GWB)、一般自我效能感量表(GSES)、Mishel疾病不确定感量表中文版(MUIS)、匹兹堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分。结果观察组的MACE发生率低于对照组,差异无统计学意义(P>0.05)。护理后,观察组患者遵医行为评分、GWB、GSES量表评分均显著高于对照组,而MUIS、PSQI、SAS和SDS评分显著低于对照组(P<0.05)。结论积极心理护理可提高ACS患者的自我效能及幸福感,降低疾病不确定感,改善心理状态、睡眠质量及遵医行为。Objective To discuss the curative effect of positive psychological nursing in patients with acute coronary syndrome(ACS).Methods ACS patients(n=140)were chosen from Qingdao Municipal Hospital from Jan.2017 to Oct.2018,and then divided sequentially into control group and observation group(each n=70).The control group was given routine cardiologic nursing,and observation group was additionally given positive psychological nursing.The scores of compliance behaviors and incidence of major adverse cardiovascular events(MACE)were compared between 2 groups.The scores of General Well-being Schedule(GWB),General Self-efficacy Scale(GSES),Mishel Disease Uncertainty Scale(MUIS),Pittsburgh Sleep Quality Index(PSQI),Self-rating Anxiety Scale(SAS),and Self-rating Depression Scale(SDS)were reviewed before and after nursing.Results MACE incidence was lower in observation group than that in control group(P>0.05).After nursing,the scores of compliance behaviors,GWB and GSES were significantly higher,and scores of MUIS,PSQI,SAS and SDS were significantly lower in observation group than those in control group(P<0.05).Conclusion Positive psychological nursing can promote self-efficacy and well-being,reduce uncertainty of disease,and improve mental state,sleep quality and compliance behaviors in ACS patients.

关 键 词：积极心理护理 急性冠脉综合征 焦虑 抑郁 

分 类 号：R541.4[医药卫生—心血管疾病]