CAJ | 학술논문

目的：探讨延续性护理干预对急性心肌梗死患者经皮冠状动脉介入术（PCI)后心理状态及服药依从性的影响。方法：选取2010年10月至2012年4月在本院心血管内科住院的急性心肌梗死患者84例，入院后行急诊PCI，简单随机分为观察组与对照组，观察组43例，对照组41例，观察组出院后采用定期家访、电话回访、来院复诊等方式进行持续护理干预跟踪随访，对照组采取常规门诊随访和复查。通过问卷调查的方式比较两组患者出院后1个月、3个月、6个月、12个月心理状态及服药依从性的差异。结果：两组患者与自身基线相比，焦虑、抑郁评分均有下降，两组不同时间段各评价指标之间差异均有统计学意义（P<0.05）,变化趋势存在不同。通过护理干预在1个月时没有明显差异，在3个月时开始出现差异，6个月、12个月时均值差异最明显，焦虑、抑郁情绪减轻最明显，服药依从性佳。结论：出院后持续护理干预能有效减轻急性心肌梗死PCI术后患者焦虑和抑郁情绪，提高患者服药依从性、遵医行为，提高疗效，减少心血管事件再发情况。
목적：탐토연속성호리간예대급성심기경사환자경피관상동맥개입술（PCI)후심리상태급복약의종성적영향。방법：선취2010년10월지2012년4월재본원심혈관내과주원적급성심기경사환자84례，입원후행급진PCI，간단수궤분위관찰조여대조조，관찰조43례，대조조41례，관찰조출원후채용정기가방、전화회방、래원복진등방식진행지속호리간예근종수방，대조조채취상규문진수방화복사。통과문권조사적방식비교량조환자출원후1개월、3개월、6개월、12개월심리상태급복약의종성적차이。결과：량조환자여자신기선상비，초필、억욱평분균유하강，량조불동시간단각평개지표지간차이균유통계학의의（P<0.05）,변화추세존재불동。통과호리간예재1개월시몰유명현차이，재3개월시개시출현차이，6개월、12개월시균치차이최명현，초필、억욱정서감경최명현，복약의종성가。결론：출원후지속호리간예능유효감경급성심기경사PCI술후환자초필화억욱정서，제고환자복약의종성、준의행위，제고료효，감소심혈관사건재발정황。
Objective: To explore the effects of nursing intervention on mental status and medication compliance of patients with acute myocardial infarction after percutaneous coronary intervention (PCI). Methods: The authors selected 84 acute myocardial infarction patients from October, 2010 to April, 2012. All of them got emergency PCI after admitted. Then they were simply randomized into experimental group (43 cases) and control group (41 cases). Experimental group accepted continuous nursing intervention after discharged, including regular home visits, telephone feedback and clinical visits. Control group got a regular clinical follow-up. Their mental status and medication compliance were investigated after 1 month, 3 months, 6 months, and 12 months from discharged, respectively. Results: Compared with baseline, anxiety and depression scores decreased in both groups (P<0.05). But the trends were different. There was no difference between two groups at 1 month in terms of anxiety, depression score and medication compliance. But difference appeared at 3 months, and became more obvious at 6 and 12 months after discharged. The anxiety and depression improved signiifcantly, and medication compliance increased also. Conclusion:Nursing interventions could effectively reduce acute myocardial infarction patients' anxiety and depression after percutaneous coronary intervention, improve their compliance, and prevent recurrent cardiovascular events.