舒適護理對冠心病支架植入術后患者焦慮心理及生活質量的影響

　　[摘要] 目的 探討舒適護理對冠心病支架植入術后患者焦慮心理及生活質量的影響。方法 方便選取該院2016年1月—2017年6月收治的90例冠心病支架植入術患者，隨機分為對照組和干預組（各45例）。對照組采用一般護理，干預組采用舒適護理，通過門診復查或電話隨訪進行問卷調查，采用焦慮自評量表（SAS）、抑郁自評量表（SDS）和健康調查表（SF-36）比較兩組患者4周后的焦慮心理及出院3個月后的生活質量。結果 采用舒適護理干預后，干預組SAS評分和SDS評分分別為（36.31±6.07）分和（35.03±5.90）分，均顯著優(yōu)于對照組患者，差異有統(tǒng)計學意義（P<0.05）；干預組SF-36各項指標分值分別為生理功能（75.64±8.56）分、社會功能（74.85±9.54）分、情感職能（73.33±7.65）分、精神健康（72.26±8.70）分、軀體疼痛（68.32±11.27）分、機體活力（67.32±8.25）分、總體健康（71.60±12.24）分，均顯著優(yōu)于對照組患者，差異有統(tǒng)計學意義（P<0.05）。結論 對冠心病支架植入術后患者實施舒適護理，可明顯改善患者焦慮、抑郁癥狀，提高患者生活質量，值得在臨床上推廣應用。
　　[關鍵詞] 舒適護理；冠心病支架植入術；焦慮；抑郁；生活質量；臨床觀察
　　[中圖分類號] R47 [文獻標識碼] A [文章編號] 1674-0742（2018）01（c）-0156-04
　　[Abstract] Objective This paper tries to investigate the effect of comfortable nursing on anxiety and quality of life in patients with coronary heart disease after stenting. Methods A total of 90 patients with coronary heart disease underwent stenting in this hospital from January 2016 to June 2017 were convenient selected and randomly divided into control group and intervention group （with 45 cases in each group）. The patients in the control group were treated with general nursing. The patients in the intervention group were treated with comfort care， and were surveyed by outpatient visit or telephone follow-up. The self-rating anxiety scale （SAS）， self-rating depression scale （SDS） and health survey （SF-36）， anxiety after 4 weeks and quality of life after 3 months of discharge in both groups were compared. Results After comfortable nursing intervention， SAS score and SDS score in the intervention group were（36.31± 6.07）points and（35.03±5.90） points respectively， which were significantly better than those in the control group， with significant difference（P<0.05）； in the intervention group， the scores of SF-36 indicators were（75.64±8.56）points，（74.85±9.54）points of social function，（73.33±7.65）points of emotional function（72.26±8.70）points of mental health（68.32±11.27）points of bady pain， body vitality （67.32±8.25）points， total health（71.60±12.24）points， were significantly better than the control group， the difference was statistically significant（P<0.05）. Conclusion The implementation of comfortable nursing in patients with CHD after stent implantation can obviously improve the patient’s anxiety and depression symptoms， thereby improving the quality of life， so it is worth popularizing in clinical practice.
　　[Key words] Comfortable nursing； Coronary stent implantation； Anxiety； Depression； Quality of life； Clinical observation

相關熱詞搜索：植入 冠心病 術后 支架 生活質量