本文選題：急性ST段抬高性心肌梗死　切入點：綜合護理　出處：《國際精神病學(xué)雜志》2016年06期 　論文類型：期刊論文

【摘要】：目的探討綜合護理干預(yù)措施對急性ST段抬高性心肌梗死患者預(yù)后及心理狀態(tài)的影響。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例并利用計算機隨機分組,對照組41例患者,行常規(guī)護理干預(yù),觀察組41例患者,在常規(guī)護理基礎(chǔ)上行綜合護理干預(yù),比較兩組預(yù)后情況,測定兩組心肌酶譜水平變化,并采用焦慮自評量表(SAS)和抑郁自評量表(SDS)對患者心理狀況進行評定。結(jié)果觀察組總有效率明顯高于對照組(P0.05);觀察組心律失常、心源性休克、心肌疼痛等并發(fā)癥發(fā)生率低于對照組(P0.05);觀察組護理后CK、LDH、AST水平均優(yōu)于對照組(P0.05);觀察組治療后SAS、SDS評分優(yōu)于對照組(P0.05);觀察組護理滿意度高于對照組(P0.05)。結(jié)論對急性ST段抬高性心肌梗死患者開展綜合護理干預(yù)的效果較好,改善患者心理狀況,提高護理質(zhì)量,且預(yù)后較好,值得推薦。
[Abstract]:Objective to explore the effect of comprehensive nursing intervention on the prognosis and psychological status of patients with acute ST-segment elevation myocardial infarction. Methods 82 patients with acute ST-segment elevation myocardial infarction from January 2015 to January 2016 in our hospital were randomly divided into groups by computer. 41 patients in the control group were treated with routine nursing intervention, while 41 patients in the observation group were treated with comprehensive nursing intervention on the basis of routine nursing. The prognosis of the two groups was compared and the changes of myocardial enzyme spectrum were measured. The psychological status of the patients was evaluated by SAS and SDS. Results the total effective rate of the observation group was significantly higher than that of the control group (P 0.05). The incidence of complications such as myocardial pain was lower than that of the control group (P 0.05), the level of CKT LDHN AST in the observation group was higher than that in the control group after nursing care, the SDS score of the observation group was better than that of the control group after treatment (P 0.05), the nursing satisfaction of the observation group was higher than that of the control group (P 0.05). Conclusion the acute St segment lifting in the observation group is better than that in the control group. The effect of comprehensive nursing intervention in patients with high myocardial infarction was better. It is recommended to improve the psychological status and nursing quality of patients, and the prognosis is good.
【作者單位】： 盤錦市中心醫(yī)院;
【分類號】：R473.5
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本文編號：1629933