心肌梗死介入治疗患者心理状态及护理对策研究
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摘要
目的调查心肌梗死介入治疗患者心理状态情况,并制订有效的宣教干预方法。方法选取中国医科大学附属第一医院2014年6月~2016年6月收治的120例心肌梗死介入治疗患者,发放关于介入治疗心理状态的调查量表,并据此制订宣教干预方法。结果对患者介入治疗后的主观心理体验调查显示,对介入治疗的效果持满意态度所占比例最高,达82.50%。本组患者对介入治疗整体态度积极,占85.00%,愿意接受医生所提意见及对医生所提意见持有消极态度所占比例分别为79.17%、20.83%。本组患者对介入术出院后随访服务形式的需求最高的为电话或短信咨询,占90.00%。结论患者对于介入治疗的整体态度积极,部分患者对于医生所提意见持有一定的消极态度,针对心肌梗死介入患者的不同心理状态情况,以制订有效的干预方式。
Objective To survey psychological state of the patients with myocardial infarction in interventional therapy,in order to formulate various form education intervention method.Methods 120 cases with myocardial infarction in interventional therapy in the First Hospital of China Medical University from June 2014 to June 2016 were selected, and they were received survey questionnaire about psychological state, to formulat various form education intervention method.Results The subjective psychological experience survey after interventional therapy showed that the satisfaction about the effect of interventional treatment was the highest, accounted for 82.50%.The general attitudes towards the interventional treatment was positive, accounted for 85.00%.The proportion of willing to accept the doctor's advice was79.17%, and the proportion of opinion held a negative attitude to the doctor was 20.83%.The highest requirements of this group was the phone call or message advisory, accounted for 90.00%.Conclusion The general attitudes of patients towards the interventional treatment are positive, while some patients have a negative attitude toward their doctors, so effective interventions should be made, which can be suitable for the different psychological states of patients with myocardial infarction.
Objective To survey psychological state of the patients with myocardial infarction in interventional therapy,in order to formulate various form education intervention method.Methods 120 cases with myocardial infarction in interventional therapy in the First Hospital of China Medical University from June 2014 to June 2016 were selected, and they were received survey questionnaire about psychological state, to formulat various form education intervention method.Results The subjective psychological experience survey after interventional therapy showed that the satisfaction about the effect of interventional treatment was the highest, accounted for 82.50%.The general attitudes towards the interventional treatment was positive, accounted for 85.00%.The proportion of willing to accept the doctor's advice was79.17%, and the proportion of opinion held a negative attitude to the doctor was 20.83%.The highest requirements of this group was the phone call or message advisory, accounted for 90.00%.Conclusion The general attitudes of patients towards the interventional treatment are positive, while some patients have a negative attitude toward their doctors, so effective interventions should be made, which can be suitable for the different psychological states of patients with myocardial infarction.
引文
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[18]李锦芬.延续性护理干预对急性心肌梗死患者经皮冠状动脉介入治疗术后心理状态及服药依从性的影响[J].世界临床医学,2016,10(21):123-124.
[19]王改红.早期康复护理对急性心肌梗死患者介入治疗术后心理状况的影响[J].基层医学论坛,2016,20(30):123-124.
[20]李国雨.心理护理对急性心肌梗死介入术患者的影响[J].饮食保健,2016,3(17):123-124.
[2]丁芸,吕媛.延续性护理干预对急性心肌梗死患者出院后的影响[J].中国伤残医学,2013,21(1):567-568.
[3]王庆茹,刘仁光.心肌梗死第三次全球统一定义-2012 ESC/ACCF/AHA/WHF专家共识要点解读[J].中国心脏起搏与心电生理杂志,2013,27(3):269-270.
[4]冯霞.糖尿病合并急性心肌梗死患者介人治疗的护理[J].内蒙古医学杂志,2012,44(4):492-494.
[5]林琳,陈静,杨洁,等.急诊与择期介人治疗对心梗患者焦虑状态的影响[J].现代护理,2012,13(36):560-561.
[6]何翠竹,梁欣,曲银玲,等.对急性心肌梗死冠脉介入治疗患者进行延续护理的效果观察[J].中国医药导报,2016,13(1):159-162.
[7]任丽,彭丽鲜,肖娴,等.急性心梗介入治疗绿色通道的程序化护理[J].西南国防医药,2011,21(9):1009-1010.
[8]杨菩,魏雪梅,肖娴,等.替罗非班在经皮冠状动脉介人治疗后应用的临床观察及护理[J].当代医学,2011,17(17):135-136.
[9]王合花,韩国华,张金芬,等.经皮冠心病介入治疗的护理[J].中国误诊学杂志,2012,7(2):394-395.
[10]曹迎弟.心脏康复护理对心肌梗死介入治疗后患者心理状态的影响[J].中国现代药物应用,2016,10(7):250-251.
[11]郭春花.介入治疗对心肌梗死患者焦虑状态的影响分析[J].按摩与康复医学:中旬刊,2011,2(12):66-67.
[12]徐雯,孙海英,张娅娅,等.冠心病经皮冠状动脉成形术和支架植入术的围术期护理干预效果观察[J].中国现代医生,2015,53(2):120-123.
[13]黄小媚,黄鹤.30例急性心肌梗死介入治疗的护理干预方式及效果研究[J].中国医药导报,2012,9(27):110-111.
[14]闫素芬.急性心肌梗塞病人的护理体会[J].中国民族民间医药杂志,2012,2(11):23-26.
[15]申晓芬,李黎,杨爽.临床护理路径在急性心肌梗死病人中的应用效果评价[J].西部医学,2012,3(12):224-226.
[16]梅丛敏,陈莎莎,周秀文.尿激酶静脉溶栓治疗急性心肌梗死28例临床护理研究[J].实用临床医药杂志,2013,17(18):70-71.
[17]柴霞.心脏康复护理对心肌梗死介入治疗后患者心理状态的影响[J].中国保健营养,2016,26(17):89-90.
[18]李锦芬.延续性护理干预对急性心肌梗死患者经皮冠状动脉介入治疗术后心理状态及服药依从性的影响[J].世界临床医学,2016,10(21):123-124.
[19]王改红.早期康复护理对急性心肌梗死患者介入治疗术后心理状况的影响[J].基层医学论坛,2016,20(30):123-124.
[20]李国雨.心理护理对急性心肌梗死介入术患者的影响[J].饮食保健,2016,3(17):123-124.