心理护理联合健康教育改善急性心肌梗死患者焦虑、抑郁情绪的临床研究(1)
【摘要】 目的：探讨心理护理联合健康教育对急性心肌梗死患者临床中焦虑、抑郁情绪的改善效果。方法：将本院收治的72例急性心肌梗死患者随机分为观察组与对照组，每组各36例。对照组采用常规的护理方式，观察组给予心理护理联合健康教育。采用(SAS)焦虑自评量表及(SDS)抑郁自评量表对两组患者护理前后的焦虑及抑郁情绪进行观察。结果：两组患者的一般资料比较差异均无统计学意义(P>0.05)。护理前两组患者的SAS及SDS量表的评分比较差异均无统计学意义(P>0.05)；护理后观察组的SAS及SDS量表评分均显著优于对照组，两组比较差异均有统计学意义(P<0.05)。结论：运用心理护理联合健康教育对于急性心肌梗死患者的焦虑、抑郁情绪具有极佳的改善作用，一定程度上可促进患者的康复，应大力推广。
【关键词】 心理护理； 健康教育； 急性心肌梗死； 焦虑； 抑郁
Clinical Study of Psychological Nursing Combined with Health Education to Improve Anxiety and Depression in Patients with Acute Myocardial Infarction/YU Huan.//Medical Innovation of China，2018，15(01)：089-092
, 百拇医药
【Abstract】 Objective：To explore the effect of psychological nursing combined with health education on anxiety and depression in patients with acute myocardial infarction.Method： There was no significant difference in the general data between the two groups(P>0.05).72 patients with acute myocardial infarction were randomly divided into the observation group and the control group，36 cases in each group.The control group received routine nursing care，and the observation group was given psychological care combined with health education.The anxiety and depression of the two groups before and after the care were observed by the self rating Anxiety Scale (SAS) and the self rating Depression Scale (SDS).Result：There was no significant difference between the two groups before nursing SAS and SDS scale score(P>0.05).The SAS and SDS scale score of observation group were significantly better than the control group，the differences were statistically significant(P<0.05).Conclusion：Psychological nursing combined with health education can improve the anxiety and depression of patients with acute myocardial infarction.It can promote the rehabilitation of patients to some extent，and should be popularized.
, 百拇医药
【Key words】 Psychological nursing； Health education； Acute myocardial infarction； Anxiety； Depression
First-author’s address：The First People’s Hospital of Jingdezhen，Jingdezhen 333000，China
doi：10.3969/j.issn.1674-4985.2018.01.024
急性心肌梗死病情進展迅速，随着人们生活方式的改变，其发病率正逐年上升，严重危害人们的生命安全。由于患者缺乏对心肌梗死的了解，以及心理承受能力较差，可加重其焦虑及恐惧等负面情绪，而患病后患者负面情绪严重的可导致其并发心律失常及心源性休克等，增加了心肌梗死的危险。因此，应给予患者相应的心理护理及健康教育，缓解其负面情绪，改善心肌梗死症状[1-2]。本次研究给予部分患者心理护理联合健康教育，对缓解患者的负面情绪具有显著成效，现将有关情况做如下具体报道。
1 资料与方法
1.1 一般资料 随机选取于2015年2月-2016年2月进入本院接受治疗的急性心肌梗死患者72例，所有患者的诊断均符合WHO制定的《急性心肌梗死的诊断标准》1981年版中的相关标准[3]。纳入标准：患者的胸痛持续时间>30 min；心电图ST段呈弓背向上型抬高，并出现宽而深的Q波及T波倒置；实验室检查发现患者的心肌酶及肌钙蛋白异常升高；可配合治疗。排除标准：文盲、有严重沟通障碍、精神障碍或精神疾病家族史、伴有心源性休克、心律失常及严重心力衰竭患者，排除不配合患者。将患者随机分为观察组与对照组，每组各36例。所有患者均已签署知情同意书，自愿参与本次研究；研究经本院伦理委员会的批准，并在其监督下进行。, http://www.100md.com(俞寰)
【关键词】 心理护理； 健康教育； 急性心肌梗死； 焦虑； 抑郁
Clinical Study of Psychological Nursing Combined with Health Education to Improve Anxiety and Depression in Patients with Acute Myocardial Infarction/YU Huan.//Medical Innovation of China，2018，15(01)：089-092
, 百拇医药
【Abstract】 Objective：To explore the effect of psychological nursing combined with health education on anxiety and depression in patients with acute myocardial infarction.Method： There was no significant difference in the general data between the two groups(P>0.05).72 patients with acute myocardial infarction were randomly divided into the observation group and the control group，36 cases in each group.The control group received routine nursing care，and the observation group was given psychological care combined with health education.The anxiety and depression of the two groups before and after the care were observed by the self rating Anxiety Scale (SAS) and the self rating Depression Scale (SDS).Result：There was no significant difference between the two groups before nursing SAS and SDS scale score(P>0.05).The SAS and SDS scale score of observation group were significantly better than the control group，the differences were statistically significant(P<0.05).Conclusion：Psychological nursing combined with health education can improve the anxiety and depression of patients with acute myocardial infarction.It can promote the rehabilitation of patients to some extent，and should be popularized.
, 百拇医药
【Key words】 Psychological nursing； Health education； Acute myocardial infarction； Anxiety； Depression
First-author’s address：The First People’s Hospital of Jingdezhen，Jingdezhen 333000，China
doi：10.3969/j.issn.1674-4985.2018.01.024
急性心肌梗死病情進展迅速，随着人们生活方式的改变，其发病率正逐年上升，严重危害人们的生命安全。由于患者缺乏对心肌梗死的了解，以及心理承受能力较差，可加重其焦虑及恐惧等负面情绪，而患病后患者负面情绪严重的可导致其并发心律失常及心源性休克等，增加了心肌梗死的危险。因此，应给予患者相应的心理护理及健康教育，缓解其负面情绪，改善心肌梗死症状[1-2]。本次研究给予部分患者心理护理联合健康教育，对缓解患者的负面情绪具有显著成效，现将有关情况做如下具体报道。
1 资料与方法
1.1 一般资料 随机选取于2015年2月-2016年2月进入本院接受治疗的急性心肌梗死患者72例，所有患者的诊断均符合WHO制定的《急性心肌梗死的诊断标准》1981年版中的相关标准[3]。纳入标准：患者的胸痛持续时间>30 min；心电图ST段呈弓背向上型抬高，并出现宽而深的Q波及T波倒置；实验室检查发现患者的心肌酶及肌钙蛋白异常升高；可配合治疗。排除标准：文盲、有严重沟通障碍、精神障碍或精神疾病家族史、伴有心源性休克、心律失常及严重心力衰竭患者，排除不配合患者。将患者随机分为观察组与对照组，每组各36例。所有患者均已签署知情同意书，自愿参与本次研究；研究经本院伦理委员会的批准，并在其监督下进行。, http://www.100md.com(俞寰)