共情与渐进式护理对急性心肌梗死PCI术后患者心脏功能、应对方式的影响  

Effect of empathic nursing and progressive rehabilitation nursing on cardiac function and coping style of patients with acute myocardial infarction after percutaneous coronary intervention

作　　者：秦婷婷 陈陪陪 倪俭[2] 吴张平 QIN Tingting;CHEN Peipei;NI Jian(Department of Cardiology,Rugao Hospital Affiliated to Nantong University/the People’s Hospital of Rugao,Jiangsu,Nantong 226500,China;不详)

机构地区：[1]南通大学附属如皋医院/江苏省如皋市人民医院心内科,江苏省南通市226500 [2]南通大学附属医院心血管内科二病区

出　　处：《河北医药》2023年第16期2546-2548,2553,共4页Hebei Medical Journal

摘　　要：目的探究共情护理与渐进式康复护理对急性心梗冠状动脉介入术(PCI)术后患者心脏功能、应对方式的影响。方法选取2020年1~12月接受急性心梗PCI术治疗的94例患者作为此次研究对象,并采用随机数字表法将其分成常规组和研究组,每组47例。术后,常规组采用常规护理,而研究组在常规组基础上采用共情护理+渐进式康复护理,比较2组干预前、干预后的心脏功能指标[左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)]、应对方式问卷(CSQ)评分、心理应激反应(SCL-90)评分、护理满意度。结果干预后,研究组的LVEF高于常规组,其LVEDD低于常规组(P<0.05);同时,研究组的CSQ评分高于常规组,其SCL-90评分低于常规组(P<0.05);且研究组的护理满意度(95.74%)高于常规组(80.85%),差异有统计学意义(P<0.05)。结论在急性心梗PCI术后予以患者共情护理与渐进式康复护理,能有效改善其心脏功能,减轻心理应激反应,提高应对方式和满意度。Objective To explore the effects of empathic nursing and progressive rehabilitation nursing on cardiac function and coping style of patients with acute myocardial infarction(AMI)after percutaneous coronary intervention(PCI).Methods A total of 94 AMI patients who received PCI in our hospital from January to December 2020 were selected as the research subjects,and they were randomly divided into routine group and study group,with 47 patients in each group.After operation,conventional nursing was given to all patients,and those in study group were additionally given the empathic nursing plus progression rehabilitation nursing.Cardiac function indexes,including the left ventricular ejection fraction(LVEF)and left ventricular end-diastolic diameter(LVEDD),the Coping Strategies Questionnaire(CSQ)scores,psychological stress response assessed by the Symptom Checklist-90(SCL-90)and nursing satisfaction were compared between the two groups before and after intervention.Results After intervention,the LVEF in the study group was significantly higher,and LVEDD was significantly lower than those in the routine group(P<0.05).Meanwhile,the CSQ score in the study group was significantly higher,and the SCL-90 score was significantly lower than those in the routine group(P<0.05).The nursing satisfaction in the study group was significantly higher than that in the routine group(95.74%vs 80.85%,P<0.05).Conclusion Empathic nursing and progressive rehabilitation nursing after PCI can effectively improve cardiac function,coping style and satisfaction,and reduce psychological stress response in AMI patients.

关 键 词：急性心梗PCI术后 共情护理 渐进式康复护理 心脏功能 应对方式 满意度 

分 类 号：R542.22[医药卫生—心血管疾病]