系统化心理干预对急性心肌梗死患者焦虑情绪的影响

目的:探讨系统化心理干预对急性心肌梗死患者焦虑情绪的影响。方法:将118例急性心肌梗死伴焦虑情绪患者按入院时间分为实验组(大月月份)和对照组(小月月份)各59例,实验组在住院期间给予常规药物治疗和系统化心理干预,对照组仅给予常规药物治疗和护理。分别于入院48 h内、出院前1 d采用Zung焦虑自评量表(SAS)评定患者焦虑情况,同时观察、比较两组患者心功能(左室射血分数、心率)和并发症发生情况。结果:与对照组相比,实验组患者焦虑程度减轻明显,心脏功能恢复快,并发症发生率降低(P<0.05,P<0.01)。结论:系统化心理干预可减轻急性心肌梗死患者的焦虑情绪,对改善预后、提高生存质量具有积极的意义。

Effect of systematic psychological intervention on anxiety of patients with acute myocardial infarction

Objective:To explore the effect of systematic psychological intervention on anxiety of patients with acute myocardial infarction.Methods:118 patients with acute myocardial infarction complicated with anxiety were divided into experimental and control groups(59 cases in each group) according to the admission time.The patients in the experimental group were given routine drug therapy and systematic psychological intervention during hospitalization and the patients in the control group only received routine drug therapy and nursing care.Zung Self-rating Anxiety Scale(SAS) was used to assess the anxiety status of the patients within 48 hours on admission and one day before discharge respectively,the cardiac function(left ventricular ejection fraction,heart rate) and the incidence of complications were observed and compared between the two groups at the same time.Results:Compared with the control group,the patient’s anxiety alleviated obviously,cardiac function recovered quickly and the incidence of complications was lower in the experimental group(P<0.05,P<0.01).Conclusion:The systematic psychological intervention can reduce anxiety of the patients with acute myocardial infarction,which has the significance in the improvement of prognosis and quality of life.