心脏康复干预对老年心衰及急性心肌梗死患者心理状态和并发症的影响研究  

Influence researches of cardiac rehabilitation intervention on the psychological states and complications in elderly patients with heart failure and acute myocardial infarction

作　　者：于泉 YU Quan(Department Two of Internal Medicine,Central Hospital Affiliated to Shenyang Medical University,Shenyang 110024,China)

机构地区：[1]沈阳医学院附属中心医院干内二科,110024

出　　处：《中国实用医药》2021年第31期181-184,共4页China Practical Medicine

摘　　要：目的 分析予以老年心力衰竭(心衰)及急性心肌梗死(心梗)患者心脏康复干预对其心理状态及并发症的影响。方法 82例老年心衰及急性心梗患者,依据随机数字表法分为对照组和观察组,每组41例。对照组患者给予常规干预,观察组患者于对照组基础上给予心脏康复干预。比较两组干预前后心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]及并发症发生情况。结果 干预前,两组患者SAS、SDS评分比较差异无统计学意义(P>0.05);干预后,观察组患者SAS、SDS评分分别为(40.14±4.28)、(41.30±4.42)分,均低于对照组的(46.20±3.95)、(48.26±4.25)分,差异具有统计学意义(P<0.05)。观察组患者并发症发生率为4.88%,低于对照组的24.39%,差异具有统计学意义(P<0.05)。结论 予以老年心衰及急性心梗患者心脏康复干预效果显著,能改善其心理状态,减少相关并发症的发生,值得临床推广应用。Objective To analyze the effect of cardiac rehabilitation intervention on the psychological states and complications in elderly patients with heart failure and acute myocardial infarction.Methods A total of 82 elderly patients with heart failure and acute myocardial infarction were divided into control group and observation group according to the random numerical table,with 41 cases in each group.Patients in the control group received conventional intervention,and patients in the observation group received cardiac rehabilitation intervention on the basis of the control group.The psychological status[self-rating anxiety scale(SAS)and selfrating depression scale(SDS)scores]before and after the intervention and the complications were compared between the two groups.Results Before the intervention,there was no statistically significant difference in SAS and SDS scores between the two groups(P>0.05).After the intervention,SAS and SDS scores of the observation group were(40.14±4.28)and(41.30±4.42)points,respectively,which were lower than(46.20±3.95)and(48.26±4.25)points of the control group,and the difference was statistically significant(P<0.05).The complication rates in the observation group was 4.88%,which was lower than 24.39%in the control group,and the difference was statistically significant(P<0.05).Conclusion Cardiac rehabilitation intervention has significant effect on elderly patients with heart failure and acute myocardial infarction,and it can improve the psychological states and reduce the complications of patients.It is worthy of clinical promotion and application.

关 键 词：急性心肌梗死 心力衰竭 心脏康复干预 心理状态 并发症 

分 类 号：R473.5[医药卫生—护理学]