中医综合护理联合心脏康复护理干预老年急性心肌梗死合并心力衰竭临床研究  

Clinical Study on Chinese Medicine Comprehensive Nursingand Heart Rehabilitation Nursing for Acute Myocardial Infarction Complicated with Heart Failure

作　　者：朱丽丽[1] 刘玥[2] 唐姗钐 余翠翠[3] ZHU Lili;LIU Yue;TANG Shanshan;YU Cuicui

机构地区：[1]郑州大学第二附属医院冠心病重症监护室,河南郑州450000 [2]郑州大学第二附属医院心内一科,河南郑州450000 [3]郑州大学第二附属医院心内三科,河南郑州450000

出　　处：《新中医》2021年第18期160-163,共4页New Chinese Medicine

基　　金：河南省医学科技攻关计划项目(201702088)。

摘　　要：目的:观察中医综合护理联合心脏康复护理干预老年急性心肌梗死合并心力衰竭患者的临床疗效。方法:选取老年急性心肌梗死合并心力衰竭患者120例,随机分为对照组和观察组各60例。对照组给予常规护理,观察组给予中医综合护理联合心脏康复护理干预。比较2组护理前后的焦虑及抑郁评分、并发症及护理满意度情况。结果:护理前,2组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);护理后,2组SAS、SDS评分均较护理前降低(P<0.05),且观察组SAS、SDS评分低于对照组(P<0.05)。观察组并发症发生率为3.33%,对照组为20.00%,2组比较,差异有统计学意义(P<0.05)。观察组护理满意度为95.00%,对照组为80.00%,2组比较,差异有统计学意义(P<0.05)。结论:中医综合护理联合心脏康复护理干预老年急性心肌梗死合并心力衰竭,能有效改善患者焦虑和抑郁等不良情绪,降低并发症,提高护理满意度。Objective:To observe the clinical effect of the therapy of Chinese medicine comprehensive nursing and heart rehabilitation nursing on intervening elderly patients with acute myocardial infarction complicated with heart failure.Methods:A total of 120 elderly patients with acute myocardial infarction complicated with heart failure were randomly divided into the control group and the observation group,60 cases in each group.The control group was given routine nursing,and the observation group was intervened with Chinese medicine comprehensive nursing and heart rehabilitation nursing.The scores of anxiety and depression,complications and nursing satisfaction were compared between the two groups before and after nursing.Results:Before nursing,there was no significant difference in the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)between the two groups(P>0.05).After nursing,the scores of SAS and SDS in the two groups were decreased when compared with those before nursing(P<0.05),and the SAS and SDS scores in the observation group were lower than those in the control group(P<0.05).The incidence of complications was 3.33%in the observation group and 20.00%in the control group,the difference being significant(P<0.05).The nursing satisfaction was 95.00%in the observation group,and was 80.00%in the control group,the difference being significant between the two groups(P<0.05).Conclusion:The therapy of Chinese medicine comprehensive nursing and heart rehabilitation nursing for elderly patients with acute myocardial infarction complicated with heart failure,can effectively improve the adverse emotions such as anxiety and depression,reduce complications,and improve nursing satisfaction.

关 键 词：急性心肌梗死 心力衰竭 心脏康复护理 中医情志护理 老年人 

分 类 号：R248.1[医药卫生—中医临床基础]