前瞻性护理对急性心肌梗死患者不良情绪与便秘的影响
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摘要
目的观察前瞻性护理对急性心肌梗死患者不良情绪与便秘的影响。方法选取我院2015年5月至2017年5月期间收治的急性心肌梗死患者88例,按照住院号随机分为对照组和干预组各44例,对照组予以常规护理,干预组在常规护理的基础上给予前瞻性护理,对比分析两组的护理效果。结果治疗后干预组患者焦虑和抑郁评分均显著低于对照组,便秘以及心律失常、心肌缺血和心功能不全等并发症发生率显著低于对照组,护理满意度高于对照组(P <0. 05),逐步回归分析结果提示,不良情绪与便秘呈正相关关系(r=0. 783,P <0. 05)。结论前瞻性护理可有效减少急性心肌梗死患者不良情绪,预防便秘、降低心律失常等并发症的发生,在临床护理中值得积极应用推广。
Objective To explore the effect ofprospective nursing on unhealthy emotions and constipation in patients with acute myocardial infarction.Methods Eighty-eight patients with acute myocardial infarction who were admitted to our hospital from May 2015 to May 2017 were randomly divided into control or intervention group by hospital number,44 in each group.The control group was given conventional nursing,and the prospective nursing was applied to the intervention group on the basis of the conventional nursing.The nursing effect was analyzed and compared.Results After treatment,the intervention group had significant lower scores in anxiety and depression,a lower rate of incidences of constipation as well as other complications such as arrhythmia,ischemia and heart failure when compared to the control group.The patients' nursing satisfaction in the intervention group was significantly higher than that in the control group.All differences were significant( P < 0. 05).Stepwise regression analysis results showed that there was a positive correlation between unhealthy emotions and constipation in these patients( r = 0. 783,P < 0. 05).Conclusion Prospective nursing can effectively prevent the unhealthy emotions and constipation in patients with acute myocardial infarction and reduce the occurrence of complications such as arrhythmia.It is worthy of promotion and application in clinical nursing.
Objective To explore the effect ofprospective nursing on unhealthy emotions and constipation in patients with acute myocardial infarction.Methods Eighty-eight patients with acute myocardial infarction who were admitted to our hospital from May 2015 to May 2017 were randomly divided into control or intervention group by hospital number,44 in each group.The control group was given conventional nursing,and the prospective nursing was applied to the intervention group on the basis of the conventional nursing.The nursing effect was analyzed and compared.Results After treatment,the intervention group had significant lower scores in anxiety and depression,a lower rate of incidences of constipation as well as other complications such as arrhythmia,ischemia and heart failure when compared to the control group.The patients' nursing satisfaction in the intervention group was significantly higher than that in the control group.All differences were significant( P < 0. 05).Stepwise regression analysis results showed that there was a positive correlation between unhealthy emotions and constipation in these patients( r = 0. 783,P < 0. 05).Conclusion Prospective nursing can effectively prevent the unhealthy emotions and constipation in patients with acute myocardial infarction and reduce the occurrence of complications such as arrhythmia.It is worthy of promotion and application in clinical nursing.
引文
[1]徐娟.前瞻性护理对急性心肌梗死患者预防便秘的临床价值[J].中国实用医药,2015,10(7):243-244.
[2]招丽冰.前瞻性护理在急性心肌梗死患者预防便秘中的应用价值[J].医学理论与实践,2017,30(4):592-593.
[3]窦畅.心理护理及生物反馈联合治疗对功能性便秘患者的影响[J].实用医院临床杂志,2018,15(5):227-229.
[4]林素贤.心内科重症监护室急性心肌梗死保守治疗患者实施前瞻性护理干预对便秘预防效果[J].实用临床护理学电子杂志,2017,2(44):15-18.
[5]温雪霞,文轶,林瑞简.前瞻性护理预防急性心肌梗死患者便秘的效果分析[J].内科,2017,12(2):295-296.
[6]吴锦荣,黄细君.前瞻性护理对预防急性心肌梗死患者便秘的影响[J].基层医学论坛,2015,19(34):4872-4873.
[7]王喆.前瞻性护理在急性心肌梗死患者预防便秘中的应用效果分析[J].中国社区医师,2015,3(17):116-117.
[8]方静,胡晔.前瞻性护理对急性心肌梗死患者预防便秘的效果观察[J].数理医药学杂志,2015,28(10):1552-1553.
[9]季洪赞,吴琳,吴晓尉.强化细则罗马Ⅲ标准的一般疗法辅助普芦卡必利对老年功能性便秘的临床疗效观察[J].临床消化病杂志,2016,28(6):346-350.
[10]宋琴,冯纯正,宋波,等.抑郁焦虑对冠心病患者血清心肌酶和超敏C反应蛋白的影响[J].实用医院临床杂志,2016,13(2):97-99.
[2]招丽冰.前瞻性护理在急性心肌梗死患者预防便秘中的应用价值[J].医学理论与实践,2017,30(4):592-593.
[3]窦畅.心理护理及生物反馈联合治疗对功能性便秘患者的影响[J].实用医院临床杂志,2018,15(5):227-229.
[4]林素贤.心内科重症监护室急性心肌梗死保守治疗患者实施前瞻性护理干预对便秘预防效果[J].实用临床护理学电子杂志,2017,2(44):15-18.
[5]温雪霞,文轶,林瑞简.前瞻性护理预防急性心肌梗死患者便秘的效果分析[J].内科,2017,12(2):295-296.
[6]吴锦荣,黄细君.前瞻性护理对预防急性心肌梗死患者便秘的影响[J].基层医学论坛,2015,19(34):4872-4873.
[7]王喆.前瞻性护理在急性心肌梗死患者预防便秘中的应用效果分析[J].中国社区医师,2015,3(17):116-117.
[8]方静,胡晔.前瞻性护理对急性心肌梗死患者预防便秘的效果观察[J].数理医药学杂志,2015,28(10):1552-1553.
[9]季洪赞,吴琳,吴晓尉.强化细则罗马Ⅲ标准的一般疗法辅助普芦卡必利对老年功能性便秘的临床疗效观察[J].临床消化病杂志,2016,28(6):346-350.
[10]宋琴,冯纯正,宋波,等.抑郁焦虑对冠心病患者血清心肌酶和超敏C反应蛋白的影响[J].实用医院临床杂志,2016,13(2):97-99.