舒适护理对冠心病支架植入术后患者焦虑心理及生活质量的影响

　　[摘要] 目的 探討舒适护理对冠心病支架植入术后患者焦虑心理及生活质量的影响。方法 方便选取该院2016年1月—2017年6月收治的90例冠心病支架植入术患者，随机分为对照组和干预组（各45例）。对照组采用一般护理，干预组采用舒适护理，通过门诊复查或电话随访进行问卷调查，采用焦虑自评量表（SAS）、抑郁自评量表（SDS）和健康调查表（SF-36）比较两组患者4周后的焦虑心理及出院3个月后的生活质量。结果 采用舒适护理干预后，干预组SAS评分和SDS评分分别为（36.31±6.07）分和（35.03±5.90）分，均显著优于对照组患者，差异有统计学意义（P<0.05）；干预组SF-36各项指标分值分别为生理功能（75.64±8.56）分、社会功能（74.85±9.54）分、情感职能（73.33±7.65）分、精神健康（72.26±8.70）分、躯体疼痛（68.32±11.27）分、机体活力（67.32±8.25）分、总体健康（71.60±12.24）分，均显著优于对照组患者，差异有统计学意义（P<0.05）。结论 对冠心病支架植入术后患者实施舒适护理，可明显改善患者焦虑、抑郁症状，提高患者生活质量，值得在临床上推广应用。
　　[关键词] 舒适护理；冠心病支架植入术；焦虑；抑郁；生活质量；临床观察
　　[中图分类号] R47 [文献标识码] A [文章编号] 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

相关热词搜索：植入 冠心病 术后 支架 生活质量