表格式管理集束化护理对急性心肌梗死患者焦虑抑郁情绪及预后的影响  

Effect of Cluster Nursing with Tabular Management on Anxiety Depression and Prognosis in Patients with Acute Myocardial Infarction

作　　者：陈莹[1] 郭松奇[1] Chen Ying;Guo Songqi(CCUDepartmentof First affiliated Hospital of Harbin Medical University,Harbin 150001,Heilongjiang Province,China)

机构地区：[1]哈尔滨医科大学附属第一医院CCU监护室

出　　处：《中国病案》2019年第12期92-95,共4页Chinese Medical Record

摘　　要：目的探讨表格式管理集束化护理对急性心肌梗死患者焦虑抑郁情绪及预后的影响。方法抽取某医院2018年1月-2019年1月收治的急性心肌梗死患者90例,采用随机数字表法将急性心肌梗死患者分为对照组(45例)和观察组(45例)。对照组患者给予常规护理,观察组患者给予表格式管理集束化护理。比较两组并发症发生率,采用抑郁自评量表及焦虑自评量表评估患者焦虑抑郁情绪,中国心血管患者生活质量评定问卷评估患者住院期间生活质量。结果观察组患者心律失常、心力衰竭发生率(15.56%),(4.44%),均显著低于对照组(31.11%),(17.78%),观察组AMI患者抑郁自评量表评分(48.44±3.91)和焦虑自评量表评分(50.23±4.38)均显著低于对照组(54.10±4.54),(57.72±4.84),观察组患者住院期间体力(15.74±4.55)、病情(15.27±4.44)、医疗状况(5.18±1.12)、一般生活(9.52±3.27)、社会心理(20.22±3.48)、工作状态(5.44±1.35)及总分(71.18±24.36)均显著高于对照组(8.80±2.62),(11.30±3.11),(4.70±1.01),(7.32±2.41),(14.30±4.11),(3.55±1.10),(53.74±15.33),差异具有统计学意义,P<0.05。结论表格式管理集束化护理可有效降低急性心肌梗死患者并发症发生率,明显改善患者焦虑抑郁情绪、生活质量及预后。Objective To explore the effect of cluster nursing with tabular management on anxiety,depression and prognosis in patients with acute myocardial infarction.Methods From January 2018 to January 2019,90 patients with AMI were treated in a hospital.The patients with AMI were randomly divided into control group(n=45)and observation group(n=45).The patients in the control group were given routine nursing care.The patients in the observation group were given cluster nursing care of tabular management.The incidence of complications were compared between the two groups.Self-rating depression scale(SDS)and self-rating anxiety scale(SAS)were used to evaluate the anxiety and depression of patients.The quality of life during hospitalization was evaluated by(GQQC).Results Compared with control group[(31.11%),(17.78%)]the incidence of arrhythmia,heart failure in patients with AMI in the observation group[(15.56%),(4.44%)]was significantly lower.Compared with control group[(54.10±4.54),(57.72±4.84)],the SAS score(48.44±3.91)and SDS score(50.23±4.38)of AMI patients in the observation group were significantly lower.Compared with control group[(8.80±2.62),(11.30±3.11),(4.70 ± 1.01),(7.32 ± 2.41),(14.30 ± 4.11),(3.55 ± 1.10),(53.74 ± 15.33)],the physical strength(15.74 ± 4.55),condition(15.27 ± 4.44),medical condition(5.18 ± 1.12),general life(9.52 ±3.27),social psychology(20.22 ± 3.48),working state(5.44 ± 1.35)and total score(71.18 ± 24.36)were significantly higher(P<0.05).Conclusion Table format management clustered nursing can effectively reduce complication rate of patients with AMI, and significantly improve anxiety and depression, quality of life and prognosis of patients.

关 键 词：表格式管理 集束化护理 急性心肌梗死 焦虑抑郁 预后 

分 类 号：R473.5[医药卫生—护理学]