基于心理状态的分级管理对冠心病急诊危重病监护室患者自我护理能力、心理状态、睡眠质量和生活质量的影响  

Effects of graded management based on mental state on self-care ability,mental state,sleep quality and quality of life of patients with coronary heart disease in emergency intensive care unit

作　　者：郭莹莹 嵇海娇 罗晶 GUO Ying-ying;JI Hai-jiao;LUO Jing(Department of Emergency,Nanjing Hospital of Integrated Traditional Chinese and Western Medicine,Nanjing,Jiangsu,210014,China)

机构地区：[1]南京市中西医结合医院急诊科,江苏南京210014

出　　处：《心血管康复医学杂志》2024年第5期630-634,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:对冠心病(CHD)急诊危重病监护室(ICU)患者实施基于心理状态的分级管理,并分析其临床应用价值。方法:选择2020年2月至2023年2月南京市中西医结合医院收治的110例CHD ICU患者,依据随机数字表法分为对照组和观察组,每组分别纳入55例,对照组给予常规护理,观察组给予基于心理状态的分级管理,两组平均干预2周。比较两组患者干预前后焦虑自评量表(SAS)和抑郁自评量表(SDS)、自我护理能力量表(ESCA)、匹兹堡睡眠质量指数(PSQI)、简明健康状况调查问卷(SF-36)评分,心功能指标以及不良事件发生情况。结果:与对照组比较,观察组SAS[(60.56±3.39)分比(51.33±2.75)分]、SDS[(62.07±2.76)分比(49.28±2.41)分]、PSQI[(13.41±2.32)分比(7.90±2.07)分]、左心房内径[(39.06±1.05)mm比(36.69±1.37)mm]、左室收缩末期内径[(48.73±1.34)mm比(41.48±2.49)mm]、不良事件发生率(28.00%比8.00%)显著降低(P均<0.01);ESCA[(142.48±4.83)分比(154.03±4.94)分]、SF-36[(615.75±29.36)分比(731.56±38.43)分]、左心室射血分数[(50.31±3.21)%比(63.60±3.02)%]显著升高(P均<0.001)。结论:基于心理状态的分级管理可以显著改善冠心病急诊危重病监护室患者的心理状态、生活质量、睡眠质量、心功能及自我护理能力,具有较高应用价值。Objective:To implement graded management based on mental state on patients with coronary heart disease(CHD)in emergency intensive care unit(ICU),and analyze its clinical application value.Methods:A total of 110 CHD ICU patients admitted to Nanjing Hospital of Integrated Traditional Chinese and Western Medicine between February 2020 and February 2023 were selected.They were divided into control group and observation group according to random number table method,with 55 cases in each group.The control group was given routine nursing,and the observation group was given graded management based on psychological status.Both groups were intervened for a mean 2 weeks.Scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS),exercise of self-care agency(ESCA),Pittsburgh sleep quality index(PSQI)and the MOS 36-Item Short Form Health Survey(SF-36),cardiac function indexes before and after intervention,and incidence of adverse events were compared between two groups.Results:Compared with control group,there were significant decrease in scores of SAS[(60.56±3.39)points vs.(51.33±2.75)points],SDS[(62.07±2.76)points vs.(49.28±2.41)points]and PSQI[(13.41±2.32)points vs.(7.90±2.07)points],left atrial diameter[(39.06±1.05)mm vs.(36.69±1.37)mm],left ventricular end systolic diameter[(48.73±1.34)mm vs.(41.48±2.49)mm]and the incidence of adverse events(28.00%vs.8.00%)(P<0.01 all);and significant increase in scores of ESCA[(142.48±4.83)points vs.(154.03±4.94)points],SF-36[(615.75±29.36)points vs.(731.56±38.43)points]and left ventricular ejection fraction[(50.31±3.21)%vs(63.60±3.02)%]in observation group(P<0.001 all).Conclusion:Graded management based on mental state can significantly improve the mental state,quality of life,sleep quality,heart function and self-care ability of patients with coronary heart disease in emergency intensive care unit,and has high application value.

关 键 词：冠心病 冠心病重症监护病房 护理 生活质量 

分 类 号：R541.4[医药卫生—心血管疾病]