综合护理干预在急性心肌梗死患者治疗中的应用价值

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摘要目的探讨综合护理干预在急性心肌梗死（AMI）患者治疗中的应用价值。方法选取2017年1～12月我院收治的64例AMI患者作为研究对象，随机分为观察组和对照组，每组各32例。观察组给予综合护理干预，对照组采用常规护理干预。比较两组干预前后的自我效能、社会支持、应对方式评分及预后情况。结果干预前，两组的自我效能，社会支持，面对、回避及屈服应对，心理弹性得分等比较差异无统计学意义（P＞0.05）。干预后，两组的自我效能、社会支持及面对应对与干预前比较，差异有统计学意义（P＜0.05）；观察组的回避应对和屈服应对均显著低于干预前，差异有统计学意义（P＜0.05）。干预后，观察组和对照组的组内的心理弹性得分相比较，均显著优于干预前，差异有统计学意义（P＜0.05）。干预后，观察组的自我效能、社会支持、面对应对及心理弹性评分均高于对照组，差异有统计学意义（P＜0.05）；观察组的回避应对及屈服应对评分均低于对照组，差异有统计学意义（P＜0.05）。观察组的死亡率显著低于对照组，差异有统计学意义（P＜0.05）。结论综合护理干预显著改善了AMI患者的自我效能、社会支持、应对方式，显著改善了预后，值得临床推广应用。

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	谭莉

关键词 ：综合护理干预, 急性心肌梗死, 自我效能, 社会支持, 应对方式, 心理弹性

Abstract：Objective To explore the effectiveness of application of comprehensive nursing intervention in patients with acute myocardial infarction(AMI).Methods A total of 64 patients with AMI treated in our hospital from January to December 2017 were selected as the objects of this research and randomly divided into the observation group and the control group,32 cases in each group.The observation group was received comprehensive nursing intervention;while,the control group was received routine nursing intervention.The self-efficacy,social support,coping style score and prognosis of the two groups before and after intervention were observed and compared.Results There was no statistically significant difference between the two groups of patients in pre-interventional self-efficacy,social support,confrontation,avoidance and resignation coping,and the score of mental resilience(P＞0.05）.The post-interventional selfefficacy,social support and confrontation coping of observation group and control group had statistically significant difference in contrast with pre-interventional ones(P＜0.05）;and the post-interventional avoidance coping and resignation coping of the observation group were significantly lower than those before the intervention，with statistically significant difference(P＜0.05）.The post-interventional scores of mental resilience of observation group and the control group were significantly better than those before intervention,with statistically significant difference (P＜0.05）.The post-interventional self-efficacy,social support,confrontation coping and mental resilience score of observation group were higher than those of control group,with statistically significant difference (P＜0.05）;and the post-interventional avoidance coping and resignation coping scores of observation group were lower than those of control group,with statistically significant difference (P＜0.05）.The mortality of the observation group was significantly lower than that of the control group,with statistically significant difference (P＜0.05）.Conclusion Comprehensive nursing intervention significantly improves the self-efficacy,social support,coping style and the prognosis of the patients with myocardial infarction,which is worthy of clinical application.

Key words： Comprehensive nursing intervention Acute myocardial infarction Self-efficacy Social support Coping style Psychological resilience

引用本文:

谭莉. 综合护理干预在急性心肌梗死患者治疗中的应用价值[J]. 中国当代医药, 2018, 25(27): 174-176.
TAN Li. Effectiveness of application of comprehensive nursing intervention in the treatment of acute myocardial infarction patients. 中国当代医药, 2018, 25(27): 174-176.

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