摘要
目的:观察中医情志护理联合常规护理对急诊心肌梗死抢救患者心理状况的影响。方法:选取急性心肌梗死患者83例,按随机数字表法分为对照组41例与观察组42例。对照组给予常规护理,观察组在对照组的基础上实施中医情志护理。比较2组患者入医院大门到球囊扩张(D2B)时间、首次医疗接触到球囊扩张(FMC2B)时间、住院时间、抢救成功率及院内复发率,并采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对2组入院时(干预前)及转科或出院时的心理状态变化进行评价。结果:观察组FMC2B、D2B时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组救治成功率为95.24%,院内复发率为7.14%,对照组分别为80.49%、17.07%,2组比较,差异均有统计学意义(P<0.05)。干预前,2组SDS、SAS评分比较,差异无统计学意义(P>0.05);干预后,2组SDS、SAS评分均较治疗前降低(P<0.05),且观察组SDS、SAS评分均低于对照组(P<0.05)。结论:中医情志护理联合常规护理可有效改善急诊心肌梗死抢救患者的心理状态,缩短抢救时间及住院时间,提高抢救成功率。
Objective:To observe the effect of Chinese medicine emotional nursing combined with routine nursing on psychological status of patients with myocardial infarction after rescue in emergency.Methods:A total of 83 cases of patients with acute myocardial infarction were divided into the control group and the observation group according to the random number table method,41 and 42 cases in each group respectively.The control group was given routine nursing,and the observation group was additionally treated with Chinese medicine emotional nursing based on the treatment of the control group.The door-to-balloon(D2 B)time,first medical contact to balloon(FMC2 B)time,hospitalization time,rescue success rates and in-hospital recurrence rates in the two groups were compared,and the changes in psychological status between on admission(before intervention)and transfer or at discharge in the two groups were evaluated by Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS).Results:The time of FMC2 B and D2 B as well as the hospitalization time in the observation group were shorter than those in the control group,the difference being significant(P<0.05).The rescue success rate was 95.24%and the in-hospital recurrence rate was 7.14%in the observation group,and the rescue success rate was 80.49%and the in-hospital recurrence rate was 17.07%in the control group,differences being significant(P<0.05).Before intervention,there was no significant difference being found in the comparison of the scores of SDS and SAS between the two groups(P>0.05).After intervention,the scores of SDS and SAS in the two groups were decreased when compared with those before treatment(P<0.05),and the above scores in the observation group were lower than those in the control group(P<0.05).Conclusion:Chinese medicine emotional nursing combined with routine nursing can effectively improve psychological status of patients with myocardial infarction after rescue in emergency,shorten rescue time and hospitalization time,and improve rescue success rate.
作者
柳爱珍
周芳鸣
LIU Aizhen;ZHOU Fangming
出处
《新中医》
CAS
2021年第18期164-166,共3页
New Chinese Medicine
关键词
心肌梗死
急诊
抢救
中医情志护理
焦虑情绪自评量表
抑郁情绪自评量表
Myocardial infarction
Emergency
Rescue
Chinese medicine emotional nursing
Self-rating Anxiety Scale
Self-rating Depression Scale
