ACS患者PCI术后团体心身干预的影响
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摘要
目的探析对急性冠脉综合征(ACS)患者经皮冠状动脉介入治疗(PCI)术后运用团体心身干预对其生活质量及不良情绪的影响。方法选取我院于2016年4月—2018年2月收治的98例ACS行PCI术的患者,将其随机分为对照组与观察组,各组49例。对照组在术后予以常规护理干预,观察组术后则在常规护理基础上加以团体心身干预的方式。之后对比两组患者生活质量与不良情绪的改善情况以及心血管不良事件的发生情况。结果观察组经常规护理联合团体心身干预的方式后,患者不良情绪的得分显著低于对照组,生活质量评分显著高于对照组;且通过6个月的随访调查显示,观察组再次出现心血管不良事件的发生率显著低于对照组,差异具有统计学意义(P <0.05)。结论将团体心身干预贯入ACS行PCI术后患者的常规护理中,可有效缓解患者的不良情绪,并提升其预后生活质量,从而降低远期心血管不良事件的发生率,值得临床借鉴实施。
Objective To explore the effect of group psychosomatic intervention on quality of life and bad emotion after percutaneous coronary intervention( PCI) in patients with acute coronary syndrome( ACS). Methods 98 ACS patients treated with PCI from April 2016 to February 2018 were randomly divided into control group(n=49) and observation group(n=49). The control group was given routine nursing intervention after operation, while the observation group was given group psychosomatic intervention on the basis of routine nursing. After that, the improvement of quality of life and adverse emotions and the occurrence of adverse cardiovascular events were compared between the two groups.Results After routine nursing combined with psychosomatic intervention,the scores of bad emotions and quality of life of the patients in the observation group were significantly lower than those in the control group, and the scores of quality of life in the observation group were significantly higher than those in the control group. The results of 6-month follow-up showed that the incidence of cardiovascular adverse events in the observation group was significantly lower than that in the control group, P < 0.05, the difference was statistically significant. Conclusion Group psychosomatic intervention into the routine nursing care of PCI patients after ACS can effectively relieve the adverse emotions and improve the quality of life of patients with prognosis, thus reducing the incidence of long-term cardiovascular adverse events, which is worthy of clinical reference.
Objective To explore the effect of group psychosomatic intervention on quality of life and bad emotion after percutaneous coronary intervention( PCI) in patients with acute coronary syndrome( ACS). Methods 98 ACS patients treated with PCI from April 2016 to February 2018 were randomly divided into control group(n=49) and observation group(n=49). The control group was given routine nursing intervention after operation, while the observation group was given group psychosomatic intervention on the basis of routine nursing. After that, the improvement of quality of life and adverse emotions and the occurrence of adverse cardiovascular events were compared between the two groups.Results After routine nursing combined with psychosomatic intervention,the scores of bad emotions and quality of life of the patients in the observation group were significantly lower than those in the control group, and the scores of quality of life in the observation group were significantly higher than those in the control group. The results of 6-month follow-up showed that the incidence of cardiovascular adverse events in the observation group was significantly lower than that in the control group, P < 0.05, the difference was statistically significant. Conclusion Group psychosomatic intervention into the routine nursing care of PCI patients after ACS can effectively relieve the adverse emotions and improve the quality of life of patients with prognosis, thus reducing the incidence of long-term cardiovascular adverse events, which is worthy of clinical reference.
引文
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[11]张娟.知信行健康教育模式在急性冠状动脉综合征行冠状动脉介入术患者中的应用[J].临床医药文献电子杂志,2018,5(68):77-78.
[12]厉欣欣.整体护理干预在急性冠状动脉综合征患者PCI术后护理中的应用效果[J].河南医学研究,2018,27(10):1892-1893.
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[14]龙薇.探讨循证护理理念在急性冠状动脉综合征介入术后的应用效果[C]//2017国际数字医学会数字中医药分会论文集.国际数字医学会:湖南中医药大学期刊杂志社,2017:2.
[15]刘璟.延续性护理对急性冠状动脉综合征经皮冠脉介入治疗的术后患者服药依从性的探讨[J].检验医学与临床,2017,14(13):1981-1983.
[2]吕美霖,胡玉玲,金玲霖,等.急性冠脉综合征患者PCI术后应用替格瑞洛的不良反应观察及护理[J].护士进修杂志,2018,33(17):1587-1588.
[3]李明娟.优化急诊护理流程对急性冠状动脉综合征患者急救效率与生存质量的影响[J].实用临床护理学电子杂志,2018,3(36):63.
[4]李莉.急性冠脉综合征行急诊介入手术治疗的围手术期护理体会[J].临床研究,2018,26(9):192-194.
[5]李楠,康春梅.急性冠脉综合征患者发病与妊娠相关血浆蛋白A的相关性分析[J].中华全科医学,2018,16(10):1615-1617,1622.
[6]王燕.急诊护理流程对急性冠脉综合征急救效率和质量的影响[J].健康之路,2018,17(8):178.
[7]朱英.心理护理干预对急性冠脉综合征介入治疗患者心理状态及生活质量的影响[J].内蒙古医学杂志,2018,50(7):866-867.
[8]涂菲.应激心理护理干预在老年急性冠状动脉综合征患者中的应用效果[J].医疗装备,2018,31(19):170-171.
[9]奚晓明,吴涛,吴波.全程系统健康教育路径对老年急性冠状动脉综合征患者的护理应用研究[J].中国医药指南,2018,16(27):189-190.
[10]李明娟.优化急诊护理流程对急性冠状动脉综合征患者急救效率与生存质量的影响[J].实用临床护理学电子杂志,2018,3(36):63.
[11]张娟.知信行健康教育模式在急性冠状动脉综合征行冠状动脉介入术患者中的应用[J].临床医药文献电子杂志,2018,5(68):77-78.
[12]厉欣欣.整体护理干预在急性冠状动脉综合征患者PCI术后护理中的应用效果[J].河南医学研究,2018,27(10):1892-1893.
[13]谭玉玲,周华荣.探讨优化急诊护理流程对急性冠状动脉综合征(ACS)患者急救效率与生存质量的意义[J].实用临床护理学电子杂志,2018,3(12):94-95.
[14]龙薇.探讨循证护理理念在急性冠状动脉综合征介入术后的应用效果[C]//2017国际数字医学会数字中医药分会论文集.国际数字医学会:湖南中医药大学期刊杂志社,2017:2.
[15]刘璟.延续性护理对急性冠状动脉综合征经皮冠脉介入治疗的术后患者服药依从性的探讨[J].检验医学与临床,2017,14(13):1981-1983.