急诊心肌梗死患者心理护理干预与常规护理效果比较研究.docVIP

急诊心肌梗死患者心理护理干预与常规护理效果比较研究 　　【摘要】目的探讨心理护理干预和常规护理对急诊心肌梗死患者的影响。方法选取急诊抢救的92例急性心肌梗死患者, 按照患者入院先后顺序分为观察组(单号)和对照组(双号), 对照组患者给予常规护理, 观察组患者在常规护理基础上给予心理护理干预。结果观察组焦虑评分(SAS)为(54.37±6.41)分、抢救时间(22.47±5.38)min、并发症(10.87%)明显低于对照组, 患者满意度(9.73±0.64)分、再通率(93.48%)明显高于对照组 (P0.05)。结论积极、有针对性的心理护理能够有效改善AMI患者负性情绪, 降低死亡率及并发症发生率。 　　【关键词】心肌梗死；心理护理；负性情绪；急诊 　　 　　Comparative study of psychological nursing intervention and routine nursing in emergency patients with myocardial infarction LI Su-ling. Department of Emergency, First Affiliated Hospital of Shantou University Medical College, Shantou 515041, China 　　【Abstract】#8195;Objective#8195;To investigate the effects of psychological nursing intervention and routine nursing in emergency patients with myocardial infarction. Methods#8195;Dividing 92 patients with AMI in Emergency Department into two groups: observation group(odd numbers) and control group(double number)according to the order of admission of patients, patients in the control group were treated with routine nursing, patients in the observation group were treated psychological nursing on the basis of the routine nursing intervention. Results#8195;The anxiety score (SAS) was (54.37±6.41) points in the observation group, rescue time was (22.47±5.38) min, complications was 10.87%, which was significantly lower than that in the control group, patient satisfaction was (9.73±0.64) points, recanalization rate was 93.48%, was significantly higher(P0.05).Conclusion#8195;Active and targeted psychological nursing in patients with AMI can effectively improve the negative emotion, reduce mortality and morbidity. 　　【Key words】#8195;Myocardial infarction; Psychological nursing; Negative emotions; Emergency心肌梗死(AMI)具有发病急、病情重、变化快的特点, 若未给予及时抢救, 则极易导致患者发生死亡。因此, AMI抢救成功的重要基础是争取最短时间内给予有效的急救措施, 但在急救过程中往往对患者心理变化忽视, 而导致患者对于急骤发病难以正确面对, 由此对急救及治疗效果均造成严重影响［1］。本院通过给予急诊抢救的AMI患者有效的心理护理, 取得满意疗效。现报告如下。 　　1资料与方法 　　1. 1一般资料选取本院急诊2012年1月~2013年6月抢救的92例AMI患者, 其中男54例, 女38例；年龄42~76岁, 平均年龄(62.5±3.9)岁；入院时间48~108h, 平均时