持续式护理对ST段抬高型心肌梗死患者SCL—90、HHI评分及负性效应的影响(1)
[摘要] 目的 探讨持续式护理对ST段抬高型心肌梗死(STEMI)患者SCL-90、HHI评分及负性效应的影响。 方法 选择2014年1月～2015年3月在辽宁省沈阳市第一人民医院进行治疗的STEMI患者98例作为研究对象，根据随机数字表法分为对照组和观察组，每组49例。对照组患者接受常规护理，观察组患者在对照组常规护理措施的基础上给予持续式护理。比较两组患者临床疗效、SCL-90评分、HHI评分及负性效应发生情况。 结果 观察组患者总有效率显著高于对照组(P < 0.05)。干预后，两组患者焦虑、抑郁、强迫、敌对、偏执、躯体化、其他等评分显著低于干预前，且观察组降低较对照组明显(P < 0.05)。干预后，两组患者T、P、I及HHI总分显著高于对照组，且观察组升高较对照组明显(P < 0.05)。观察组负性反应总发生率显著低于对照组(P < 0.05)。 结论 持续式护理可有效降低STEMI患者SCL-90评分，提高HHI评分，降低负性反应的发生率。
[关键词] 持续式护理；ST段抬高型心肌梗死；SCL-90；HHI评分；负性效应
[中图分类号] R473.5 [文献标识码] A [文章编号] 1673-7210(2017)01(b)-0162-04
Effect of continuous nursing on SCL-90， HHI scores and negative reactions of patients with STEMI
PAN Yi′ou
Department of Medicine， the First People's Hospital of Shenyang City， Liaoning Province， Shenyang 110041， China
[Abstract] Objective To evaluate the effect of continuous nursing on SCL-90， HHI scores and negative reactions of patients with STEMI. Methods 98 patients with STEMI cured in the First People's Hospital of Shenyang City， Liaoning Province from January 2014 to March 2015 were selected as research objects. They were divided into control group and observation group according to the random number table method， 49 cases in each group. The control group patients received routine nursing care. Patients in observation group received continuous nursing based on routine nursing care. Clinical effect， SCL-90 score， HHI score and negative reactions between two groups were compared. Results Total effective rate of observation group was significantly higher than that of control group (P < 0.05). After intervention， anxiety， depression， compulsion， hostility， paranoia， somatization and other scores in two groups were significantly lower than before intervention， and observation group was significantly lower than control group (P < 0.05). After intervention， T， P， I， total HHI scores in two groups were significantly higher than before intervention， and observation group was significantly higher than control group (P < 0.05). The incidence rate of total negative reaction in observation group was significantly lower than that in control group (P < 0.05). Conclusion Continuous nursing can effectively reduce SCL-90 score， increase HHI score and decline the occurrence rate of negative reactions of patients with STEMI.
[Key words] Continuous nursing； STEMI； SCL-90； HHI score； Negative reaction
急性心肌梗死是指由于持久、嚴重的心肌缺血而造成的部分心肌急性坏死，该病临床发病较急，患者死亡率较高，尤其是ST段抬高型心肌梗死(ST segment elevation myocardial infarction，STEMI)是急诊临床常见的一种危重症，流行病学调查发现，50%的死亡患者发生在发病后1 h内，由此可见，STEMI对患者的生命安全造成严重威胁[1-3]。尤其是随着近年来我国人口结构的调整，人口老龄化进程加快，该类疾病的发病率也在逐年升高。尽管随着现代医学的发展，临床对STEMI的治疗取得了显著成效，有效地降低了STEMI患者的死亡率[4-6]。但如何能够进一步提高临床对STEMI的治疗效果一直是心内科临床的热点课题，有研究表明，通过加强护理有助于改善STEMI患者的预后，提高其临床效果[7-9]。持续式护理是一种旨在时间、空间上均能给予患者连续护理的一种护理方案，近年来该护理方案在多种疾病的临床治疗过程中发挥了积极作用。在此背景下，本研究旨在探讨持续式护理对STEMI患者SCL-90、HHI评分及负性效应的影响，为临床提供科学参考。, http://www.100md.com(潘贻瓯)
[关键词] 持续式护理；ST段抬高型心肌梗死；SCL-90；HHI评分；负性效应
[中图分类号] R473.5 [文献标识码] A [文章编号] 1673-7210(2017)01(b)-0162-04
Effect of continuous nursing on SCL-90， HHI scores and negative reactions of patients with STEMI
PAN Yi′ou
Department of Medicine， the First People's Hospital of Shenyang City， Liaoning Province， Shenyang 110041， China
[Abstract] Objective To evaluate the effect of continuous nursing on SCL-90， HHI scores and negative reactions of patients with STEMI. Methods 98 patients with STEMI cured in the First People's Hospital of Shenyang City， Liaoning Province from January 2014 to March 2015 were selected as research objects. They were divided into control group and observation group according to the random number table method， 49 cases in each group. The control group patients received routine nursing care. Patients in observation group received continuous nursing based on routine nursing care. Clinical effect， SCL-90 score， HHI score and negative reactions between two groups were compared. Results Total effective rate of observation group was significantly higher than that of control group (P < 0.05). After intervention， anxiety， depression， compulsion， hostility， paranoia， somatization and other scores in two groups were significantly lower than before intervention， and observation group was significantly lower than control group (P < 0.05). After intervention， T， P， I， total HHI scores in two groups were significantly higher than before intervention， and observation group was significantly higher than control group (P < 0.05). The incidence rate of total negative reaction in observation group was significantly lower than that in control group (P < 0.05). Conclusion Continuous nursing can effectively reduce SCL-90 score， increase HHI score and decline the occurrence rate of negative reactions of patients with STEMI.
[Key words] Continuous nursing； STEMI； SCL-90； HHI score； Negative reaction
急性心肌梗死是指由于持久、嚴重的心肌缺血而造成的部分心肌急性坏死，该病临床发病较急，患者死亡率较高，尤其是ST段抬高型心肌梗死(ST segment elevation myocardial infarction，STEMI)是急诊临床常见的一种危重症，流行病学调查发现，50%的死亡患者发生在发病后1 h内，由此可见，STEMI对患者的生命安全造成严重威胁[1-3]。尤其是随着近年来我国人口结构的调整，人口老龄化进程加快，该类疾病的发病率也在逐年升高。尽管随着现代医学的发展，临床对STEMI的治疗取得了显著成效，有效地降低了STEMI患者的死亡率[4-6]。但如何能够进一步提高临床对STEMI的治疗效果一直是心内科临床的热点课题，有研究表明，通过加强护理有助于改善STEMI患者的预后，提高其临床效果[7-9]。持续式护理是一种旨在时间、空间上均能给予患者连续护理的一种护理方案，近年来该护理方案在多种疾病的临床治疗过程中发挥了积极作用。在此背景下，本研究旨在探讨持续式护理对STEMI患者SCL-90、HHI评分及负性效应的影响，为临床提供科学参考。, http://www.100md.com(潘贻瓯)