早期心理护理干预在急性心肌梗死后抑郁患者中的应用

目的：探讨对急性心肌梗死的患者尽早实施心理护理干预后的应用价值。方法整群选取2015年3月-2016年3月因急性心肌梗死入该院诊治的患者进行统计共有156例,24 h后采用抑郁自评量表,发现有急性心肌梗后抑郁症的患者40例,将其作为该次实验对象按照随机分为传统组与干预组各20例,对传统组患者采用临床常规的护理措施,而对干预组患者在常规护理措施的基础上于心梗后第2天进行心理护理干预,经过护理一周后采用焦虑与抑郁自评量表测定患者的心理状况,并观察患者对护理方式的满意度。结果干预前两组患者的SDS与SAS评分对比均差异无统计学意义(P>0.05),在不同模式的护理后,干预组评分显著优于传统组,且基本恢复标准值,差异有统计学意义(P<0.05)；护理后两组患者满意度调查发现,干预患者100%的满意度明显超过传统组的85%,差异有统计学意义(P<0.05)。结论对急性心肌梗死后抑郁的患者早期实行心理护理干预,有效缓解多种精神压力,改善抑郁症状,使其在身心放松的状态下配合治疗从而提高疾病治愈率,在临床工作中具有实际指导的价值。

Application of Early Psychological Nursing Intervention on Patients in De-pression with Acute Myocardial Infarction

Objective To explore the value of early implementation of psychological nursing intervention on patients with acute myocardial infarction (AMI). Methods Group selection 156 patients undergoing AMI in the affiliated hospital of Xuzhou medical university from March 2015 to March 2016, 40 patients in depression have been found, using the depres-sion self rating scale in 24 hours since AMI . these patients were divided into traditional group(n=20) and intervention group (n=20); patients in traditional group were treated by routine clinical nursing measures, and those in intervention group were treated by psychological nursing intervention on the basis of traditional nursing measures; the psychological situation of pa-tients and patients' satisfaction on nursing were observed through anxiety and depression self rating scale after 7 days. Re-sults SDS and SAS scores of the two groups before intervention have no statistical difference (P> 0.05), after the different patterns of care, scores of the intervention group were significantly superior to those of the traditional group, and the differ-ence was significant (P<0.05);100%patients' were satisfied with nursing of the intervention group ,higher than 85%of the traditional group, and the difference was significant (P< 0.05). Conclusion Early psychological nursing intervention with the patients undergoing AMI could effectively alleviate mental pressure, improve the symptoms of depression, improve the cure rate of the disease,and provide guidances for clinical work.