综合性护理干预对冠心病介入治疗患者心理状态及生活质量的影响

目的探讨综合性护理干预对冠心病介入治疗患者心理状态及生活质量的影响。方法选取2009年1月～2014年1月期间在我院行冠心病介入治疗的患者60例．将上述患者随机分成干预组与对照组各30例，对照组患者给予随机对症护理，干预组于介入手术围术期着重实施综合性护理干预措施，比较两组的SAS评分及QOL评分。结果术后3d，干预组和对照组患者的SAS评分均较术前1d及术后1d明显降低，且干预组术后3d的SAS评分明显低于对照组（P〈0．05）；出院后3个月，干预组和对照组患者的生理、心理、独立性、社会关系、环境和生活质量总分均较干预前显著提高，且干预组明显高于对照组（P〈0．05）。结论围术期实施综合性护理干预是冠心病患者介入治疗过程的重要组成部分，可以缓解患的紧张、焦虑的心理状态，提高手术成功率，进一步提高患者的生活质量。

Effect of comprehensive nursing intervention on the psychological state of treatment and quality of life in patients with coronary heart disease

Objective To investigate the effect and impact on mental state and quality of coronary intervention life of patients of comprehensive nursing intervention. Methods From January 2009 to January 2014 in our hospital, 60 patients with coronary heart disease by coronary intervention were randomly divided into intervention group and the control group, each of 30 patients, the control group were randomly given symptomatic treatment, observation group focused on the implementation of integrated perioperative nursing interventions, the SAS score and QOL score were compared. Results After three days, the intervention group and the control group of SAS scores were lower than that in one day before and after surgery, and the SAS score of intervention group after three days was significantly lower than the control group （P〈0.05）; After 3 months of discharge, physiological, psychological, independence, social relationships, environment and quality of life scores in intervention group and the control group were significantly improved than before the intervention, and the intervention group were significantly higher than the control group （P 〈0.05）. Conclusion Implementation of comprehensive perioperative nursing intervention is an important part of the process of intervention in patients with coronary artery disease, patients can ease tension, anxiety mental state, improve the success rate of surgery and can further improve the quality of life of patients.