配偶参与联合配偶支持对中青年急性心肌梗死患者症状、心理状态和家庭功能的影响  

Effects of spousal participation combined with spousal support on symptoms,psychological status and family function in young and middle-aged patients with acute myocardial infarction

作　　者：钱茜[1] 王春霞[1] 罗芳[1] 顾蓉 Qian Qian;Wang Chunxia;Luo Fang;Gu Rong(Department of Cardiovascular Medicine,the Second People's Hospital of Wuxi,Wuxi 214002,China)

机构地区：[1]无锡市第二人民医院心血管内科,无锡214002

出　　处：《国际护理学杂志》2024年第21期3860-3864,共5页international journal of nursing

基　　金：无锡市青年项目(编号:20210026)。

摘　　要：目的探究配偶参与联合配偶支持对中青年急性心肌梗死(AMI)患者症状、心理状态和家庭功能的影响。方法选取2021年2月至2023年1月于无锡市第二人民医院心内科收治96例的中青年AMI患者及配偶作为研究对象,采用随机数字表法分为两组,各48例。对照组采用常规激励护理干预,观察组则在此基础上增加配偶参与联合配偶支持方案,均持续干预3个月。通过左心室射血分数(LVEF)、左室舒张末期容积(LVEDV)、氨基末端脑利钠肽前体(NT-proBNP)对比两组患者的心功能水平,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我效能感量表(GSES)、纽芬兰纪念大学幸福度量表(MUNSH)、社会支持量表(PSSS)以及健康调查量表(SF-36)评估两组的干预效果。结果两组干预后的心功能水平、SAS、SDS、GSES、MUNSH、PSSS以及SF-36评分相较于干预前均有显著改善,观察组LVEDV指数显著低于对照组,而LVEF、NT-proBNP指数则显著高于对照组(P<0.05);观察组SAS、SDS评分相较于对照组明显降低(P<0.05);而GSES、MUNSH、PSSS以及SF-36评分显著高于对照组(P<0.05)。结论配偶参与联合配偶支持方案能显著改善中青年AMI患者的心功能、减轻负性情绪,提高自我效能、幸福感和生活质量。ObjectiveTo explore the effects of spousal participation combined with spousal support on symptoms,psychological status and family function in young and middle-aged patients with acute myocardial infarction(AMI).MethodsA total of 96 middle-aged and young AMI patients and their spouses admitted to the Department of Cardiovascular Medicine of the Second People's Hospital of Wuxi from February 2021 to January 2023 were selected as the study objects.They were randomly divided into two groups with 48 cases in each group by number table method.The control group received standard motivational nursing interventions,while the experimental group received additional spousal participation and combined spousal support interventions.The intervention lasted for 3 months.The heart function level was compared between the two groups through the Left Ventricular Ejection Fraction(LVEF),Left Ventricular End-Diastolic Volume(LVEDV)and N-Terminal Pro-Brain Natriuretic Peptide(NT-proBNP).The Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),General Self-Efficacy Scale(GSES),Memorial University of Newfoundland Scale of Happiness(MUNSH),Perceived Social Support Scale(PSSS)and Health Survey Scale(SF-36)were used to evaluate the intervention effects of the two groups.ResultsAfter intervention,the cardiac function level,SAS,SDS,GSES,MUNSH,PSSS and SF-36 scores of both groups were significantly improved compared with before intervention.LVEDV index of the observation group was significantly lower than that of the control group,while LVEF and NT-proBNP index were significantly higher than those of the control group(P<0.05).The SAS and SDS scores of the experimental group were significantly lower than those of the control group(P<0.05),while the GSES,MUNSH,PSSS and SF-36 scores of the experimental group were significantly higher than those of the control group(P<0.05).ConclusionsThe spousal participation and combined spousal support program can significantly improve the cardiac function of middle-aged and young AMI patients,alle

关 键 词：配偶参与联合配偶支持 急性心肌梗死 中青年患者 心理状态 生活质量 

分 类 号：R473.5[医药卫生—护理学]