老年心绞痛患者施行护理干预对其心理状态影响.docVIP

老年心绞痛患者施行护理干预对其心理状态影响 　　摘要：目的：探讨老年心绞痛患者实施护理干预对其心理状态的影响程度。方法：选取自我院2013年至2014年收治的100例老年心绞痛患者，对其进行随机分组为对照组与观察组各50例，对照组采用常规化护理，观察组在对照组的基础上实施护理干预。分别观察两组患者护理前后的抑郁量表（SDS）与焦虑量表得分（SAS）变化状况。结果：两组患者进行护理干预后，较护理前，抑郁指数与焦虑情况均有所降低；两组护理后的状况相比较，观察组的SDS和SAS得分明显低于护理后的对照组。两组相比较差异明显，具有统计学意义（p0.05）。结论：对于老年心绞痛患者实施护理干预，不仅能够降低心绞痛的发病率，而且对患者的心理焦虑与抑郁程度具有较为明显的改善作用，从而达到有效治愈患者，恢复其正常生活的目的，临床上可对其进行推广。 　　关键词：老年心绞痛；护理干预；抑郁指数；焦虑变化 　　Abstract： objective： to investigate the elderly patients with angina pectoris the influence degree of the implementation of nursing intervention on the psychological state. Selection methods： self hospital from 2013 to 2014 treated 100 cases of elderly patients with angina pectoris， randomly assigned to each 50 cases as control group and observation group， control group with routine nursing， the observation group in the control group on the basis of the implementation of the nursing intervention. Respectively to observe the two groups before and after patient care depression scale （SDS） and anxiety scale （SAS） score changes. Results： two groups of patients after nursing intervention， the nursing before the index of depression and anxiety also decreases； In comparison with the condition of the two groups after nursing， SDS and SAS scores of observation group was obviously lower than the control group after nursing. Obvious difference compared the two groups， with statistical significance （p 0.05）. Conclusion： in elderly patients with angina pectoris implementation of nursing intervention， not only can reduce the incidence of angina pectoris， and degree of patients psychological anxiety and depression has more obvious improvement， so as to achieve effective to cure patients， restore its normal life， the purpose of clinical on promotion for it. 　　Keywords： senile angina pectoris； Nursing intervention； Depression index； Anxiety changes 　　心绞痛是冠状动脉供血不足，心肌急剧短暂性缺血与缺氧所造成的以发作性胸痛或胸部不适为主要表现的临床综合征【1】。其特点为前胸阵发性、压榨性疼痛，疼痛位置主要位于胸骨后部，每次发作持续3～5分钟，发作次数不定，心绞痛多见与男性，多数患者为老年人，劳累、情绪激动、饱食、受寒、