个案追踪管理模式对急性心肌梗死患者心理状态、遵医行为的影响  

Effect of case follow-up management mode on psychological status,medical compliance and prognosis of patients with acute myocardial infarction

作　　者：张凯 李君 刘敏 李蕊[1] 唐琪 ZHANG Kai;LI Jun;LIU Min(Department of Cardiovascular Medicine,Nanyang Central Hospital,Hanyang 473000,China)

机构地区：[1]河南省南阳市中心医院心血管内科,473000 [2]南阳医学高等专科学校第一附属医院心血管内科

出　　处：《中国健康心理学杂志》2021年第4期547-551,共5页China Journal of Health Psychology

基　　金：河南省医学科技攻关计划项目(编号:201702165)。

摘　　要：目的:探讨个案追踪管理模式对急性心肌梗死患者心理状态、遵医行为的影响。方法:选取某院2018年12月至2019年12月收治的急性心肌梗死患者118例为研究对象,按照随机数表法分为对照组和观察组各59例,其中对照组采用常规干预,观察组采用个案追踪管理模式。分析比较两组患者干预前及干预6个月后焦虑自评量表(Self-rating anxiety scale,SAS)和抑郁自量表(Self-rating depression scale,SDS)评分、遵医行为及预后情况。结果:干预后,观察组患者SAS和SDS评分明显低于对照组,差异均有统计学意义(t=-7.682,-8.222;P<0.001);观察组均衡饮食、按时用药、合理运动、定期复诊及戒烟戒酒等遵医行为率明显高于对照组,两组差异有统计学意义(χ^(2)=9.844,3.933,17.913,6.838,6.535;P<0.05);干预后,观察组再发心绞痛、心力衰竭发生率明显低于对照组,差异均有统计学意义(χ^(2)=4.236,3.933;P<0.05)。结论:个案追踪管理模式可改善急性心肌梗死患者的心理状态,有效提高患者遵医行为,改善患者的预后。Objective:To explore the effect of case follow-up management mode on mental state and medical compliance of patients with acute myocardial infarction(AMI).Methods:A total of 118 patients with acute myocardial infarction treated in our hospital from December 2018 to December 2019 were randomly divided into control group(n=59)and observation group(n=59).Routine intervention was used in the control group and case follow-up management mode was used in the observation group.The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS),medical compliance and prognosis were analyzed and compared between the two groups before and 6 months after intervention.Results:After intervention,the scores of SAS and SDS of the patients in the observation group were significantly lower than those in the control group(t=-7.682,-8.222;P<0.001),and the compliance rates of balanced diet,regular medication,reasonable exercise,regular revisit and quitting smoking and drinking in the observation group were significantly higher than those in the control group(χ^(2)=9.844,3.933,17.913,6.838,6.535;P<0.05).The incidence of recurrent angina pectoris and heart failure in the observation group was significantly lower than that in the control group(χ^(2)=4.236,3.933;P<0.05).Conclusion:The follow-up management mode can improve the psychological state of patients with acute myocardial infarction,effectively improve the compliance behavior of patients,and improve the prognosis of patients.

关 键 词：个案追踪管理模式 急性心肌梗死 心理状态 遵医行为 

分 类 号：R749.92[医药卫生—神经病学与精神病学]