中国康复理论与实践
中國康複理論與實踐
중국강복이론여실천
CHINESE JOURNAL OF REHABILITATION THEORY & PRACTICE
2014年
8期
771-775
,共5页
邱小芩%肖熙%岑莉莉%李彩艳%陶艳娇
邱小芩%肖熙%岑莉莉%李綵豔%陶豔嬌
구소금%초희%잠리리%리채염%도염교
急性心肌梗死%主动脉内球囊反搏%焦虑
急性心肌梗死%主動脈內毬囊反搏%焦慮
급성심기경사%주동맥내구낭반박%초필
acute myocardial infarction%intra-aortic balloon pump%anxiety
目的：探讨综合干预对急性心肌梗死(AMI)行主动脉内球囊反搏(IABP)患者焦虑情绪的影响。方法选择经汉密尔顿焦虑量表(HAMA)评价大于14分的50例AMI行IABP治疗患者，分为常规干预组(n=25)和综合干预组(n=25)。常规干预组给予含认知行为干预在内的所有常规护理措施，综合干预组在此基础上加用丙泊酚静脉泵入，Ramsay镇静分级在Ⅱ~Ⅲ级。记录两组患者干预前、干预后第1~5天6个时间点的生命体征、HAMA得分、主要心血管事件和血管并发症的发生情况。结果综合干预组干预后多数时间点HAMA得分、收缩压、舒张压、平均压较干预前降低(P<0.05)，未增加低血压、呼吸抑制等并发症。综合干预组恶性心律失常、穿刺部位出血/血肿、导管移位等发生率低于常规干预组(P<0.05)。结论综合干预能够改善AMI行IABP患者的焦虑症状，降低心律失常、血管并发症和IABP导管移位发生率。
目的：探討綜閤榦預對急性心肌梗死(AMI)行主動脈內毬囊反搏(IABP)患者焦慮情緒的影響。方法選擇經漢密爾頓焦慮量錶(HAMA)評價大于14分的50例AMI行IABP治療患者，分為常規榦預組(n=25)和綜閤榦預組(n=25)。常規榦預組給予含認知行為榦預在內的所有常規護理措施，綜閤榦預組在此基礎上加用丙泊酚靜脈泵入，Ramsay鎮靜分級在Ⅱ~Ⅲ級。記錄兩組患者榦預前、榦預後第1~5天6箇時間點的生命體徵、HAMA得分、主要心血管事件和血管併髮癥的髮生情況。結果綜閤榦預組榦預後多數時間點HAMA得分、收縮壓、舒張壓、平均壓較榦預前降低(P<0.05)，未增加低血壓、呼吸抑製等併髮癥。綜閤榦預組噁性心律失常、穿刺部位齣血/血腫、導管移位等髮生率低于常規榦預組(P<0.05)。結論綜閤榦預能夠改善AMI行IABP患者的焦慮癥狀，降低心律失常、血管併髮癥和IABP導管移位髮生率。
목적：탐토종합간예대급성심기경사(AMI)행주동맥내구낭반박(IABP)환자초필정서적영향。방법선택경한밀이돈초필량표(HAMA)평개대우14분적50례AMI행IABP치료환자，분위상규간예조(n=25)화종합간예조(n=25)。상규간예조급여함인지행위간예재내적소유상규호리조시，종합간예조재차기출상가용병박분정맥빙입，Ramsay진정분급재Ⅱ~Ⅲ급。기록량조환자간예전、간예후제1~5천6개시간점적생명체정、HAMA득분、주요심혈관사건화혈관병발증적발생정황。결과종합간예조간예후다수시간점HAMA득분、수축압、서장압、평균압교간예전강저(P<0.05)，미증가저혈압、호흡억제등병발증。종합간예조악성심률실상、천자부위출혈/혈종、도관이위등발생솔저우상규간예조(P<0.05)。결론종합간예능구개선AMI행IABP환자적초필증상，강저심률실상、혈관병발증화IABP도관이위발생솔。
Objective To explore the effect of comprehensive intervention on anxiety in patients of acute myocardial infarction (AMI) undergoing intra-aortic balloon pump (IABP). Methods 50 patients with AMI undergoing IABP with the score of Hamilton Anxiety Rating Scale (HAMA) more than 14 points, were divided into conventional intervention group (n=25) and comprehensive intervention group (n=25). The conventional intervention group received all the conventional nursing measures including cognitive behavioral intervention, and the comprehensive intervention group received propofol intravenous pumping in addition with Ramsay sedation at II-III level. The vital signs, HAMA scores, major cardiovascular events, and vascular complications were recorded before and the 1st-5th days after intervention. Re-sults The HAMA scores, systolic blood pressure, diastolic blood pressure and mean pressure decreased in most of the time points after inter-vention in the comprehensive intervention group (P<0.05). And there was no complication such as low blood pressure, respiratory depres-sion. The incidence rates of cardiac arrhythmias, puncture hematoma/bleeding and catheter displacement were lower in the comprehensive intervention group than in the conventional intervention group (P<0.05). Conclusion Comprehensive intervention can improve the symp-toms of anxiety in the patients with AMI undergoing IABP, and reduce the incidence of arrhythmia, vascular complications and catheter dis-placement.
