CAJ | 학술논문

目的：探讨心脏介入患者心理情感障碍的特点和护理干预措施。方法选择60例心血管介入患者为研究对象，随机分为两组，各30例。观察组除常规护理外再给予系统的护理干预，对照组只行常规护理，在干预前和干预后分别采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者进行焦虑抑郁评分，动态观察患者心电图、心肌酶谱、心律失常和心绞痛发生率、再梗死率和死亡率等各项指标。结果观察组患者干预后SAS和SDS评分低于对照组，观察组患者焦虑与抑郁发生率低于对照组(P<0.01)；观察组身体恢复的各项指标较对照组好，差异有统计学意义(P<0.05)。结论实施系统的护理干预能有效缓解术前焦虑抑郁等负性情绪，降低心绞痛、心律失常及心源性猝死等并发症的发生率，促进术后康复，优于一般心理护理。
목적：탐토심장개입환자심리정감장애적특점화호리간예조시。방법선택60례심혈관개입환자위연구대상，수궤분위량조，각30례。관찰조제상규호리외재급여계통적호리간예，대조조지행상규호리，재간예전화간예후분별채용초필자평량표(SAS)화억욱자평량표(SDS)대환자진행초필억욱평분，동태관찰환자심전도、심기매보、심률실상화심교통발생솔、재경사솔화사망솔등각항지표。결과관찰조환자간예후SAS화SDS평분저우대조조，관찰조환자초필여억욱발생솔저우대조조(P<0.01)；관찰조신체회복적각항지표교대조조호，차이유통계학의의(P<0.05)。결론실시계통적호리간예능유효완해술전초필억욱등부성정서，강저심교통、심률실상급심원성졸사등병발증적발생솔，촉진술후강복，우우일반심리호리。
Objective To investigate the nursing intervention approach on mood related disorders occurred in patients receiving cardiac intervention therapy. Methods Sixty patients receiving cardiac intervention therapy were randomly di-vided into two groups, 30 patients per group respectively. Patients in nursing intervention group experienced basic nursing follow by psychological nursing. However,basic nursing methods were applied in control group only. Mood re-lated disorders were evaluated with psychology rating scale,including Self-Rating Anxiety Scale(SAS)and Self-rating Depression Scale (SDS). Meanwhile, cardiac function index, including ECG, myocardial enzymes, the incidence of arrhythmias and angina, reinfarction and mortality rate were recorded for analyzing. Results The score of anxiety and depression self rating scale in nursing intervention group were significantly decreased than that in control group (P<0.01). The index reflecting cardiac function in nursing intervention group were lower than that in control group, even compared with itself before (P<0.05). Conclusion The results of this study indicate psychological nursing could allevi-ate anxiety and depression commonly occurring in patients experienced cardiac intervention therapy and enhance recov-ery rate as well as long-lasting rehabilitation, which suggest psychological nursing is practical and valuable approach for patients with cardiovascular disease.