摘要
目的探讨持续式护理对ST段抬高型心肌梗死(STEMI)患者SCL-90、HHI评分及负性效应的影响。方法选择2014年1月~2015年3月在辽宁省沈阳市第一人民医院进行治疗的STEMI患者98例作为研究对象,根据随机数字表法分为对照组和观察组,每组49例。对照组患者接受常规护理,观察组患者在对照组常规护理措施的基础上给予持续式护理。比较两组患者临床疗效、SCL-90评分、HHI评分及负性效应发生情况。结果观察组患者总有效率显著高于对照组(P<0.05)。干预后,两组患者焦虑、抑郁、强迫、敌对、偏执、躯体化、其他等评分显著低于干预前,且观察组降低较对照组明显(P<0.05)。干预后,两组患者T、P、I及HHI总分显著高于对照组,且观察组升高较对照组明显(P<0.05)。观察组负性反应总发生率显著低于对照组(P<0.05)。结论持续式护理可有效降低STEMI患者SCL-90评分,提高HHI评分,降低负性反应的发生率。
Objective To evaluate the effect of continuous nursing on SCL-90, HHI scores and negative reactions of patients with STEMI. Methods 98 patients with STEMI cured in the First People＇s Hospital of Shenyang City, Liaoning Province from January 2014 to March 2015 were selected as research objects. They were divided into control group and observation group according to the random nmnber table method, 49 cases in each group. The control group patients re- ceived routine nursing care. Patients in observation group received continuous nursing based on routine nursing care. Clinical effect, SCL-90 score, HHI score and negative reactions between two groups were compared. Results Total ef- fective rate of observation group was significantly higher than that of control group （P 〈 0.05）. After intervention, anxi- ety, depression, compulsion, hostility, paranoia, somatization and other scores in two groups were significantly lower than before intervention, and observation group was significantly lower than control group （P 〈 0.05）. After intervention, T, P, I, total HHI scores in two groups were significantly higher than before intervention, and observation group was significantly higher than control group （P 〈 0.05）. The incidence rate of total negative reaction in observation group was significantly lower than that in control group （P 〈 0.05）. Conclusion Continuous nursing can effectively reduce SCL-90 score, increase HHI score and decline the occurrence rate of negative reactions of patients with STEMI.
出处
《中国医药导报》
CAS
2017年第2期162-165,共4页
China Medical Herald
