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目的探讨心理干预在ST段抬高型急性心肌梗死患者溶栓治疗中的应用价值。方法选择ST段抬高型急性心肌梗死(STEMI)患者90例,通过随机数表法分观察组和对照组各45例,两组患者均给予溶栓治疗,对照组在溶栓的同时给予常规的护理干预,观察组在对照组的基础上再加上心理干预。观察两组患者干预前后SAS、SDS评分以及ET水平的变化,比较住院时间、治疗费用、不良反应,调查护理满意度。结果干预1个月后,观察组SAS、SDS评分低于对照组(P<0.05);观察组住院时间短于对照组,治疗费用及不良反应均低于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论 STEMI患者溶栓治疗中加以心理干预可以减轻患者的焦虑、抑郁,提升护理满意度。
Objective To investigate the value of psychological intervention in the thrombolytic therapy of ST elevation acute myocardial infarction. Methods Ninety patients with STEMI were randomly divided into observation group (45 cases) and control group (45 cases) by random number table. Patients in both groups were given thrombolysis while patients in control group were given routine thrombolytic therapy Of the intervention, the observation group in the control group based on the psychological intervention. The changes of SAS, SDS scores and ET levels before and after intervention were observed. The hospitalization time, treatment costs and adverse reactions were compared, and the satisfaction degree of nursing was investigated. Results One month after the intervention, SAS and SDS scores in the observation group were lower than those in the control group (P <0.05). The length of stay in the observation group was shorter than that in the control group, and the treatment costs and adverse reactions were lower than those in the control group (P <0.05) Nursing satisfaction was higher than that of the control group (P <0.05). Conclusion Psychological intervention in patients with STEMI thrombolytic therapy can reduce anxiety, depression and improve nursing satisfaction.