心肌梗死患者焦虑的影响因素及护理干预效果分析

目的分析心肌梗死患者住院期间焦虑的影响因素,探讨护理干预的临床效果。方法选取我科治疗的90例急性心梗患者,以入院时焦虑评分为因变量,分析临床影响因素,然后随机将患者分为观察组和对照组,每组各45例。观察组采用针对性护理干预,对照组采用常规护理方式,比较两组患者出院时的焦虑评分,并在随访期间比较治疗依从性。结果①睡眠质量、社会支持、主观感受、对医生信任、绝对卧床时间等因素对焦虑评分具有显著影响（P〈0.05）,而年龄、性别、文化、婚姻状况、职业、经济收入、住院费用等因素影响较小（P〉0.05）;②护理干预后观察组焦虑自评量表（SAS）评分显著低于对照组（P〈0.05）;随访3个月发现,对照组服药依从性低于对照组（P〈0.05）。结论针对焦虑影响因素进行临床护理干预可有效降低患者焦虑状态,并可提高患者的服药依从性,有利于提高长期的治疗效果。

Influencing factors and analysis effect of nursing interventions of patients with myocardial infarction with anxiety

Objective To analyze the influencing factors of anxiety on myocardial infarction patients during hospitalization in order to explore the clinical effects of nursing interventions.Methods 90 patients with acute myocardial infarction in our department were selected,clinical impact factors were analyzed according to admission anxiety score as the dependent variable,and then patients were randomly divided into observation group and control group,each group had 45 cases.Observation group was given nursing intervention,control group was given conventional care,anxiety scores of two groups were compared,and the compliance of patients were followed-up during the treatment.Results ①The sleep quality,social support,subjective feelings,trust in the doctor,absolute bed rest time and the other factors on anxiety scores had significant effects（P 0.05）,age,gender,culture,marital status,occupation,economic income,cost of hospitalization and the other factors had a little effects（P 0.05）;②After nursing intervention,SAS scores of observation group was significantly lower than that of control group（P 0.05）,medication compliance of observation group were better than that of control group when followed up for 3 months（P 0.05）.Conclusion Clinical care intervention for anxiety influencing factors can effectively reduce the anxiety state,which can improve patients＇ medication compliance,and help improving the long-term treatment effects.