摘要
目的:探讨生命力护理干预对行经皮冠状动脉介入治疗(PCI)术急性心肌梗死(AMI)患者的影响。方法:选取2018年3月1日~2019年3月1日收治的AMI患者108例,采用随机数字表法分为对照组和观察组各54例,对照组采用常规护理干预,观察组在常规护理基础上采用生命力护理干预;比较两组干预前后机体功能状态[采用西雅图心绞痛调查量表(SAQ)]、希望水平[采用Herth希望量表(HHI)]、负性情绪[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[采用健康调查简表(SF-36)]。结果:干预后,两组SAQ中躯体活动受限程度、心绞痛稳定程度、心绞痛发作频率、疾病主观感受、治疗满意度评分及总分均高于干预前(P<0.05),且观察组均高于对照组(P<0.05);干预后,两组HHI中对现实与未来的态度(T)、与他人保持亲密关系(I)、采取积极行动(P)评分及总分均高于干预前(P<0.05),且观察组均高于对照组(P<0.05);干预后,两组SAS、SDS评分均低于干预前(P<0.05),且观察组均低于对照组(P<0.05);干预后,两组SF-36中躯体功能、躯体角色、肢体疼痛、总体健康、活力、社会功能、情绪角色、精神健康评分均高于干预前(P<0.05),且观察组均高于对照组(P<0.05)。结论:将生命力护理干预应用于行PCI术的AMI患者中效果良好,能有效缓解AMI患者负性情绪,提高其生活质量。
Objective:To investigate the effect of vitality nursing intervention on patients with acute myocardial infarction(AMI)undergoing percutaneous coronary intervention(PCI).Methods:A total of 108 patients with AMI admitted from March 1,2018 to March 1,2019 were selected and divided into control group and observation group with random number table method.The control group received routine nursing intervention,and the observation group received vitality nursing intervention based on routine nursing.The functional status[using the Seattle angina questionnaire(SAQ)],the level of hope[using the Herth hope index(HHI)],the negative emotions[using the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)],and the quality of life[using the MOS item short from health survey(SF-36)]of the two groups before and after intervention were compared.Results:After intervention,the degree of physical activity restriction,angina stability,angina attack frequency,subjective feeling of disease,treatment satisfaction score and total score in SAQ in both groups were higher than before intervention(P<0.05),and the observation group was higher than the control group(P<0.05).After intervention,the attitude towards reality and future(T),keeping intimate relationship with others(I),taking positive actions(P)score and total score in the two groups of HHI were all higher than before the intervention(P<0.05),and the observation group was all higher than the control group(P<0.05).After intervention,SAS and SDS scores in both groups were lower than those before the intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.05).After intervention,scores of body function,body role,limb pain,general health,vitality,social function,emotional role and mental health in SF-36 in both groups were higher than those before the intervention(P<0.05),and those in the observation group were higher than those in the control group(P<0.05).Conclusion:The application of vitality nursing intervention in AMI patients undergoing PCI has a good effect,which can effectively relieve the negative emotions of AMI patients and improve their quality of life.
作者
梁庆元
关常青
关快活
莫小燕
Liang Qingyuan;Guan Changqing;Guan Kuaihuo(Yangjiang People′s Hospital,Yangjiang Guangdong 529500,China)
出处
《齐鲁护理杂志》
2020年第9期37-40,共4页
Journal of Qilu Nursing
关键词
急性心肌梗死
生命力护理
经皮冠状动脉介入治疗
负性情绪
生活质量
Acute myocardial infarction
Vitality care
Percutaneous coronary intervention
Negative emotion
Quality of life
