心理护理干预在ICU急性心肌梗死患者治疗中应用.docVIP

心理护理干预在ICU急性心肌梗死患者治疗中应用 　　[摘要] 目的 探讨心理护理干预在ICU急性心肌梗死患者治疗中的应用效果。 方法 选择2011年11月～2013年11月本院ICU病房收治的80例急性心肌梗死患者为研究对象，随机分为观察组和对照组，各40例，对照组给予常规治疗护理，观察组在常规护理基础上，给予心理护理干预，比较两组的SAS评分、SDS评分和护理满意度。 结果 观察组干预后1周和干预后1个月的SAS评分、SDS评分均明显低于对照组，差异有统计学意义（P0.05）。观察组的护理总满意度为97.50%，明显高于对照组的85.00%，差异有统计学意义（P0.05）。 结论 有效的心理护理干预能明显缓解ICU急性心肌梗死患者的焦虑心理和抑郁心理，提高护理满意度，值得推广应用。 　　[关键词] 心理护理干预；ICU病房；急性心肌梗死；应用效果 　　[中图分类号] R541.4 [文献标识码] B [文章编号] 1674-4721（2014）04（b）-0116-03 　　[Abstract] Objective To investigate application effect of psychological nursing intervention in the treatment of patient with acute myocardial infarction in ICU. Methods 80 patients with acute myocardial infarction in ICU from November 2011 to November 2013 were selected and randomly divided into observation group and control group，each group of 40 cases.Conventional treatment and care was used in control group，on the basis of conventional care，psychological nursing intervention was used in observation group.SAS score，SDS score and nursing satisfaction rate in two groups was compared respectively. Results After one week and one month of intervention，SAS score and SDS score in observation group was significantly lower than that in control group respectively，with statistical difference（P0.05）.Total nursing satisfaction rate of observation group was 97.50%，significantly higher than that of control group（85.00%），with statistical difference（P0.05）. Conclusion Effective psychological nursing intervention can significantly alleviate anxiety and depression psychology of patient with acute myocardial infarction in ICU，improve nursing satisfaction rate.It is worthy of promotion and application. 　　[Key words] Psychological nursing intervention；ICU ward；Acute myocardial infarction；Application effect 　　急性心肌梗死多发生在冠状动脉粥样硬化狭窄的基础上，某些诱因使冠状动脉粥样斑块破裂，血中的血小板在破裂斑块表面聚集，形成血栓，突然阻塞冠状动脉管腔，导致心肌缺血坏死[1]。常见的外界诱因包括过度劳累、情绪激动、暴饮暴食、寒冷刺激、吸烟酗酒等。患者心理状态在疾病的发生、发展过程及预后中起重要的影响，保持良好的心理状态是争取良好预后的关键[2]，ICU病房护理中不可忽视这类患者的心理护理干预。本文主要探讨心理护理干预在ICU急性心肌梗死患者治疗中的应用效果。 　　1 资料与