二级预防中医护理在急性心肌梗死患者中的干预效果(1)
[摘要]目的 研究二級预防中医护理在急性心肌梗死患者中的临床干预效果。方法 选取2016年5月～2017年12月广州市荔湾区芳村中医医院心内科收治的70例急性心肌梗死患者作为研究对象，按就诊先后时间将其分为干预组和对照组，每组各35例。干预组患者接受二级预防护师的专科二级预防中医护理，对照组患者给予常规心内科护理。比较两组患者的二级预防干预达标情况和出院时心理状况[心理状况症状自评量表(SCL-90)]。两组患者均随访12周。结果 干预组患者出院后开始心脏康复时间短于对照组，参加心脏康复、运动>4 d/周、糖化血红蛋白<7%、低密度脂蛋白胆固醇(LDL-C)<2.6 mmol/L、他汀类规范用药达标率均高于对照组，差异有统计学意义(P<0.05)。干预组患者的SCL-90总分以及强迫症状、敏感、抑郁、焦虑、敌对、偏执评分均明显低于对照组，差异有统计学意义(P<0.05)；两组患者的躯体化、恐怖、精神病评分比较，差异无统计学意义(P>0.05)。结论 二级预防中医护理干预能够明显提高急性心肌梗死患者二级预防各项指标的达标率，提高患者的生活质量，预防再发。
[关键词]二级预防；中医护理；急性心肌梗死
[中图分类号] R473.54 [文献标识码] A [文章编号] 1674-4721(2018)12(b)-0164-05
[Abstract] Objective To study the clinical intervention effect of traditional Chinese medicine (TCM) nursing as a secondary prevention in patients with acute myocardial infarction. Methods Seventy patients with acute myocardial infarction admitted to department of Cardiology of Fangcun Traditional Chinese Medicine Hospital of Liwan District in Guangzhou City from May 2016 to December 2017 were selected as objects. According to the visiting sequence， they were divided into intervention group and control group， with 35 cases in each group. In the intervention group， TCM nursing of specialist secondary prevention by nurse practitioners was adopted， while in the control group， regular care in cardiology was used. The reaching standard of secondary prevention intervention and the psychological status (mental condition symptom self-rating scale [SCL-90]) at discharge between the two groups were compared. Both groups were followed up for 12 weeks. Results The time of cardiac rehabilitation after discharge in the intervention group was shorter than that in the control group， compliance rates in aspects of participation in cardiac rehabilitation， exercise>4 d/week， glycosylated hemoglobin<7%， low density lipoprotein cholesterol (LDL-C) <2.6 mmol/L， and Statin specification medication were higher than those in the control group， and the differences were statistically significant (P<0.05). The total scores and obsessive-compulsive symptoms， sensitivity， depression， anxiety， hostility， and paranoia scores of SCL-90 in the intervention group were significantly lower than those in the control group， and the differences were statistically significant (P<0.05). There were no significant differences in the somatization， terror， and mental illness scores between the two groups (P>0.05). Conclusion TCM nursing as a secondary prevention intervention can significantly improve the compliance rate of secondary prevention indicators in patients with acute myocardial infarction， ameliorate the quality of life and prevent recurrence., 百拇医药(魏伟珍 林军娇 李瑜欣)
[关键词]二级预防；中医护理；急性心肌梗死
[中图分类号] R473.54 [文献标识码] A [文章编号] 1674-4721(2018)12(b)-0164-05
[Abstract] Objective To study the clinical intervention effect of traditional Chinese medicine (TCM) nursing as a secondary prevention in patients with acute myocardial infarction. Methods Seventy patients with acute myocardial infarction admitted to department of Cardiology of Fangcun Traditional Chinese Medicine Hospital of Liwan District in Guangzhou City from May 2016 to December 2017 were selected as objects. According to the visiting sequence， they were divided into intervention group and control group， with 35 cases in each group. In the intervention group， TCM nursing of specialist secondary prevention by nurse practitioners was adopted， while in the control group， regular care in cardiology was used. The reaching standard of secondary prevention intervention and the psychological status (mental condition symptom self-rating scale [SCL-90]) at discharge between the two groups were compared. Both groups were followed up for 12 weeks. Results The time of cardiac rehabilitation after discharge in the intervention group was shorter than that in the control group， compliance rates in aspects of participation in cardiac rehabilitation， exercise>4 d/week， glycosylated hemoglobin<7%， low density lipoprotein cholesterol (LDL-C) <2.6 mmol/L， and Statin specification medication were higher than those in the control group， and the differences were statistically significant (P<0.05). The total scores and obsessive-compulsive symptoms， sensitivity， depression， anxiety， hostility， and paranoia scores of SCL-90 in the intervention group were significantly lower than those in the control group， and the differences were statistically significant (P<0.05). There were no significant differences in the somatization， terror， and mental illness scores between the two groups (P>0.05). Conclusion TCM nursing as a secondary prevention intervention can significantly improve the compliance rate of secondary prevention indicators in patients with acute myocardial infarction， ameliorate the quality of life and prevent recurrence., 百拇医药(魏伟珍 林军娇 李瑜欣)