急性ST段抬高型心肌梗死患者急诊介入治疗后抑郁状态的相关因素分析及双心护理策略探讨  

Analysis of related factors affecting depression status after emergency intervention in acute ST elevation myocardial infarction and discussion of doubleheart care strategy

作　　者：时海霞[1] SHI Haixia(Jining No.1 People's Hospital Cardiology Department,Jining 272000,China)

机构地区：[1]济宁市第一人民医院心内科,山东济宁272000

出　　处：《心理月刊》2025年第4期57-59,74,共4页

摘　　要：目的探究急性ST段抬高型心肌梗死(STEMI)患者急诊介入治疗后抑郁状态的相关因素及双心护理策略。方法将2022年3月~2024年6月本院收治的120例STEMI急诊患者纳入研究。使用抑郁自评量表(SDS)评价患者的抑郁状态,将得分≥53分的患者纳入抑郁组(n=41),将得分<53分的患者纳入无抑郁组(n=79)。分析影响患者抑郁状态的独立危险因素,并探讨基于双心医学的护理对策。结果两组患者的年龄、受教育程度、体质量指数、合并糖尿病、家庭年收入、社会支持度、生活自理能力之间存在显著差异(P<0.05);经多因素Logistic回归分析,年龄、受教育程度、合并糖尿病、生活自理能力、社会支持度是影响STEMI急诊患者抑郁状态的独立危险因素(P<0.05)。结论STEMI急诊患者抑郁状态主要受年龄、受教育程度、合并糖尿病、社会支持度、生活自理能力的影响,临床上可通过双心护理对患者的认知、心理等方面进行干预,改善患者的抑郁状态。Objective To explore the factors related to depressive state and binocular care strategies of patients with acute ST-elevation myocardial infarction(STEMI)after emergency interventional treatment.Methods A total of 120 emergency patients with STEMI admitted to our hospital from March 2022 to June 2024 were included in the study.Depression status was evaluated using the depression self-rating scale(SDS),patients with scores 53 points were included in the depression group(n=41)and patients with scores<53 were included in the no-depression group(n=79).Analyze independent risk factors affecting depression status and explore nursing countermeasures based on double-heart medicine.Results There were significant differences in age,education,body quality index,combined diabetes,annual family income,social support,and self-care ability(P<0.05);age,education,combined diabetes,self-care ability,and social support were independent risk factors affecting depression status of STEMI patients(P<0.05).Conclusion The depression state of STEMI emergency patients is mainly affected by age,education,diabetes,social support,and self-care ability.Clinically,the cognitive and psychological intervention through double-heart nursing can be used to improve the depression state of patients.

关 键 词：急性ST段抬高型心肌梗死 急诊介入治疗 抑郁状态 相关因素 双心护理 

分 类 号：R541[医药卫生—心血管疾病]