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目的探究分析对有焦虑症状的急性心肌梗死患者实施集束化护理干预的具体措施和护理效果。方法选取2015年1月至2016年1月收治于我院的126例急性心肌梗死合并有焦虑症状的患者进行调查,分析可能引起患者焦虑的危险因素。采用随机数字表法将患者分为实验组、对照组,实验组采用集束化护理干预,对照组给予常规护理。干预前后采用SAS评分评定患者焦虑程度,观察比较两组患者焦虑状态和并发症发生情况。结果可能引起急性心肌梗死患者焦虑的危险因素有睡眠质量差、长期卧床、生理功能降低、对医生的信任度缺乏、社会支持不足等。护理干预后,实验组SAS评分、并发症发生率明显低于对照组(P<0.05)。结论针对性采取集束化护理干预措施可以帮助患者缓解焦虑症状,减少并发症。
Objective To explore and analyze the specific measures and nursing effects of intensive nursing intervention on acute myocardial infarction patients with anxiety symptoms. Methods A total of 126 acute myocardial infarction patients with anxiety symptoms admitted to our hospital from January 2015 to January 2016 were investigated to analyze the possible risk factors for anxiety. The patients were divided into experimental group, control group and experimental group by cluster random nursing intervention and control group were given routine nursing. Before and after the intervention, SAS scores were used to assess the anxiety level of the patients. Anxiety status and complications were compared between the two groups. The results may lead to anxiety in patients with acute myocardial infarction risk factors are poor quality of sleep, long-term bed rest, reduced physiological function, lack of trust in the doctor, lack of social support and so on. After nursing intervention, SAS score and complication rate in experimental group were significantly lower than those in control group (P <0.05). Conclusion Targeted cluster nursing interventions can help patients relieve anxiety symptoms and reduce complications.