论文部分内容阅读
目的探讨综合护理干预措施对急性ST段抬高性心肌梗死患者预后及心理状态的影响。方法收集我院2015年1月~2016年1月急性ST段抬高性心肌梗死患者82例并利用计算机随机分组,对照组41例患者,行常规护理干预,观察组41例患者,在常规护理基础上行综合护理干预,比较两组预后情况,测定两组心肌酶谱水平变化,并采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者心理状况进行评定。结果观察组总有效率明显高于对照组(P<0.05);观察组心律失常、心源性休克、心肌疼痛等并发症发生率低于对照组(P<0.05);观察组护理后CK、LDH、AST水平均优于对照组(P<0.05);观察组治疗后SAS、SDS评分优于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论对急性ST段抬高性心肌梗死患者开展综合护理干预的效果较好,改善患者心理状况,提高护理质量,且预后较好,值得推荐。
Objective To investigate the effects of comprehensive nursing interventions on prognosis and psychological status in patients with acute ST-segment elevation myocardial infarction. Methods Eighty-two patients with ST-segment elevation myocardial infarction in our hospital from January 2015 to January 2016 were randomly divided into two groups: control group (n = 41) and routine nursing intervention group (n = 41) Based on comprehensive nursing intervention, the prognosis of the two groups was compared. The changes of myocardial enzymes were measured. The anxiety self-rating scale (SAS) and depression self-rating scale (SDS) were used to assess the psychological status. Results The total effective rate in the observation group was significantly higher than that in the control group (P <0.05). The incidences of arrhythmia, cardiogenic shock and myocardial pain in the observation group were lower than those in the control group (P <0.05) (P <0.05). The score of SAS and SDS in the observation group was better than that in the control group (P <0.05). The nursing satisfaction of the observation group was higher than that of the control group (P <0.05). Conclusions The comprehensive nursing intervention in patients with acute ST-segment elevation myocardial infarction is effective, which improves the psychological status of patients and improves the quality of nursing. The prognosis is good and is worth recommending.