心脏康复护理对老年性心衰患者及急性心肌梗死患者心理状态的影响-现代护理医学杂志.docx

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心脏康复护理对老年性心衰患者及急性心肌梗死患者心理状态的影响

【摘要】目的分析在老年性心衰患者、急性心肌梗死患者中给予心脏康复护理对其心理状态的影响。方法选取老年性心衰、急性心肌梗死患者共70例为研究对象，将分成两组，观察组与对照组，前者给予心脏康复护理，后者则给予常规护理干预，对比两组护理效果。结果治疗前，两组患者的心理状态无明显变化，治疗后，观察组的SAS和SDS评分均低于对照组，差异具有统计学意义（P＜0.05）。观察组的LVEF指标高于对照组，而LVESD和LVEDD指标均低于对照组，（P＜0.05）。结论心脏康复护理通过康复训练和心理支持，康复护理帮助患者减轻焦虑、抑郁和恐惧等负面情绪，提升自信和生活质量，同时促进心理的积极变化，对患者的心理状态有显著影响。

【关键词】心脏康复护理；老年性心衰；急性心肌梗死；心理状态

【收稿日期】2023年12月15日【出刊日期】2024年1月23日【DOI】10.12208/j.jmnmTheeffectofcardiacrehabilitationnursingonthepsychologicalstatusofelderlypatientswithheartfailureandacutemyocardialinfarction

【Abstract】Objective:Toanalyzetheimpactofcardiacrehabilitationcareonthepsychologicalstatusofelderlypatientswithheartfailureandacutemyocardialinfarction.Method:Atotalof70patientswithheartfailureandacutemyocardialinfarctionwereselectedastheresearchsubjectsanddividedintotwogroups:theobservationgroupandthecontrolgroup.Theformerreceivedcardiacrehabilitationcare,whilethelatterreceivedroutinenursingintervention.Thenursingeffectsofthetwogroupswerecompared.Result:Beforetreatment,therewasnosignificantchangeinthepsychologicalstatusofthetwogroupsofpatients.Aftertreatment,theSASandSDSscoresoftheobservationgroupwerelowerthanthoseofthecontrolgroup,andthedifferencewasstatisticallysignificant(P0.05).TheLVEFindicatorsoftheobservationgroupwerehigherthanthoseofthecontrolgroup,whiletheLVESDandLVEDDindicatorswerelowerthanthoseofthecontrolgroup(P0.05).Conclusion:Throughrehabilitationtrainingandpsychologicalsupport,cardiacrehabilitationnursinghelpspatientsreducenegativeemotionssuchasanxiety,depression,andfear,improveconfidenceandqualityoflife,andpromotepositivepsychologicalchanges,whichhasasignificantimpactonthepatientspsychologicalstate.

【Keywords】CardiacRehabilitationNu