摘要
【摘要】 目的 探究预见性护理应用于急性心肌梗死护理中的临床效果。方法 86例急性心肌梗死患者， 随机分为对照组和观察组， 每组 43例。两组患者在治疗的同时给予护理干预， 对照组采用常规护理， 观察组采用预见性护理。比较两组患者护理前后抑郁自评量表（ SDS）评分、焦虑自评量表（ SAS）评分及并发症发生情况。结果 观察组患者护理前的 SDS评分与 SAS评分分别为（ 70.6±3.6）、（ 68.3±2.9）分， 护理后分别为（ 51.6±1.6）、（ 50.1±3.2）分 ;对照组患者护理前的 SDS评分与 SAS评分分别为（ 71.3±2.6）、（ 69.4±2.7）分， 护理后分别为（ 64.3±4.1）、（ 60.1±1.9）分。护理前， 两组患者的 SDS评分与 SAS评分比较差异均无统计学意义（ P>0.05） ;护理后， 观察组患者的 SDS评分与 SAS评分均明显优于对照组， 差异均有统计学意义（ P<0.05）。观察组患者中出现心律失常 1例（ 2.33%）， 心力衰竭 2例（ 4.65%） ;对照组患者中出现心律失常 4例（ 9.30%）， 心力衰竭 3例（ 6.98%）， 休克 3例（ 6.98%） ;观察组患者的并发症发生率 6.98%显著低于对照组的 23.26%， 差异有统计学意义（ P<0.05）。结论 预见性护理应用于急性心肌梗死护理， 能调整患者的消极心理状态， 减少并发症的发生， 值得在临床上推广应用。
【关键词】 预见性护理 ;急性心肌梗死 ;并发症
[Abstract] Objective To explore the clinical effect of predictive nursing in acute myocardial infarction. Methods 86 patients with acute myocardial infarction were randomly divided into control group and observation group, 43 cases in each group. The patients in the two groups were given nursing intervention at the same time of treatment, the control group was given routine nursing, and the observation group was given predictive nursing. The SDS, SAS and complications of the two groups were compared before and after nursing. Results the scores of SDS and SAS in the observation group were (70.6 ± 3.6), (68.3 ± 2.9) before nursing, and (51.6 ± 1.6), (50.1 ± 3.2) after nursing. The scores of SDS and SAS in the control group were (71.3 ± 2.6), (69.4 ± 2.7) before nursing, and (64.3 ± 4.1), (60.1 ± 1.9) after nursing. Before nursing, there was no significant difference in SDS score and SAS score between the two groups (P > 0.05); after nursing, the SDS score and SAS score of the observation group were significantly better than that of the control group (P < 0.05). In the observation group, there were 1 case of arrhythmia (2.33%), 2 cases of heart failure (4.65%); in the control group, there were 4 cases of arrhythmia (9.30%), 3 cases of heart failure (6.98%), 3 cases of shock (6.98%); in the observation group, the incidence of complications was 6.98%, which was significantly lower than 23.26% in the control group (P < 0.05). Conclusion the application of predictive nursing in the nursing of acute myocardial infarction can adjust the negative psychological state of patients and reduce the occurrence of complications, which is worth popularizing in clinical practice.
出版日期
2020年04月20日（中国期刊网平台首次上网日期，不代表论文的发表时间）
