中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
11期
1249-1252
,共4页
抑郁%恢复期%急性心肌梗死%家庭关怀%护理干预%西雅图心绞痛调查量表
抑鬱%恢複期%急性心肌梗死%傢庭關懷%護理榦預%西雅圖心絞痛調查量錶
억욱%회복기%급성심기경사%가정관부%호리간예%서아도심교통조사량표
Depression%Recovery period%Acute myocardial infarction%Family care%Nursing intervention%SAQ
目的 探讨家庭关怀对急性心肌梗死恢复期患者护理干预效果的影响.方法 选择首次发病急性心肌梗死患者66例,出院前采用家庭关怀度指数问卷(APGAR)、西雅图心绞痛调查量表(SAQ)和抑郁自评量表(SDS)进行调查,根据APGAR得分将APGAR≥7分者分为家庭关怀度好组35例,将APGAR＜7分者分为家庭关怀度差组31例,患者出院后均接受院外恢复早期护理干预,为期10～12周,12周后对两组再次进行SAQ、SDS的调查.比较两组患者护理干预前后SAQ及SDS评分.结果 与出院时相比,出院12周时两组患者的SAQ得分均有提高,APGAR≥7分组的患者躯体活动受限程度、治疗满意程度、疾病认知程度分别为(66.00±3.65),(78.78 ±4.60),(65.25±5.55)分,均优于APGAR＜7分组患者的(63.10 ±3.69),(67.75 ±6.08),(59.94 ±5.88)分,差异均有统计学意义(t分别为4.244,9.166,5.838;P ＜0.05)；出院时两组患者SDS评分比较,差异无统计学意义(P＞0.05)；出院12周APGAR≥7分组患者家庭关怀SDS评分为(0.39±0.04)分,低于APGAR＜7分组患者的(0.42±0.07)分,差异有统计学意义(t=-3.277,P＜0.01).结论 急性心肌梗死恢复期定期的护理干预有助于提高患者的生活质量.良好的家庭关怀可以进一步提高护理干预效果,并可以与护理干预有效结合从而改善患者的不良心理状态.
目的 探討傢庭關懷對急性心肌梗死恢複期患者護理榦預效果的影響.方法 選擇首次髮病急性心肌梗死患者66例,齣院前採用傢庭關懷度指數問捲(APGAR)、西雅圖心絞痛調查量錶(SAQ)和抑鬱自評量錶(SDS)進行調查,根據APGAR得分將APGAR≥7分者分為傢庭關懷度好組35例,將APGAR＜7分者分為傢庭關懷度差組31例,患者齣院後均接受院外恢複早期護理榦預,為期10～12週,12週後對兩組再次進行SAQ、SDS的調查.比較兩組患者護理榦預前後SAQ及SDS評分.結果 與齣院時相比,齣院12週時兩組患者的SAQ得分均有提高,APGAR≥7分組的患者軀體活動受限程度、治療滿意程度、疾病認知程度分彆為(66.00±3.65),(78.78 ±4.60),(65.25±5.55)分,均優于APGAR＜7分組患者的(63.10 ±3.69),(67.75 ±6.08),(59.94 ±5.88)分,差異均有統計學意義(t分彆為4.244,9.166,5.838;P ＜0.05)；齣院時兩組患者SDS評分比較,差異無統計學意義(P＞0.05)；齣院12週APGAR≥7分組患者傢庭關懷SDS評分為(0.39±0.04)分,低于APGAR＜7分組患者的(0.42±0.07)分,差異有統計學意義(t=-3.277,P＜0.01).結論 急性心肌梗死恢複期定期的護理榦預有助于提高患者的生活質量.良好的傢庭關懷可以進一步提高護理榦預效果,併可以與護理榦預有效結閤從而改善患者的不良心理狀態.
목적 탐토가정관부대급성심기경사회복기환자호리간예효과적영향.방법 선택수차발병급성심기경사환자66례,출원전채용가정관부도지수문권(APGAR)、서아도심교통조사량표(SAQ)화억욱자평량표(SDS)진행조사,근거APGAR득분장APGAR≥7분자분위가정관부도호조35례,장APGAR＜7분자분위가정관부도차조31례,환자출원후균접수원외회복조기호리간예,위기10～12주,12주후대량조재차진행SAQ、SDS적조사.비교량조환자호리간예전후SAQ급SDS평분.결과 여출원시상비,출원12주시량조환자적SAQ득분균유제고,APGAR≥7분조적환자구체활동수한정도、치료만의정도、질병인지정도분별위(66.00±3.65),(78.78 ±4.60),(65.25±5.55)분,균우우APGAR＜7분조환자적(63.10 ±3.69),(67.75 ±6.08),(59.94 ±5.88)분,차이균유통계학의의(t분별위4.244,9.166,5.838;P ＜0.05)；출원시량조환자SDS평분비교,차이무통계학의의(P＞0.05)；출원12주APGAR≥7분조환자가정관부SDS평분위(0.39±0.04)분,저우APGAR＜7분조환자적(0.42±0.07)분,차이유통계학의의(t=-3.277,P＜0.01).결론 급성심기경사회복기정기적호리간예유조우제고환자적생활질량.량호적가정관부가이진일보제고호리간예효과,병가이여호리간예유효결합종이개선환자적불양심리상태.
Objective To investigate the effect of family care on nursing intervention of patients with myocardial infarction in recovery period.Methods Totals of 66 patients who had their first acute myocardial infarction were chosen for this study.APGAR,SAQ and SDS were used to investigate before their discharge.According to their APGAR score,patients were divided into the better family care group (Group A) with 35 cases whose score was no less than 7 and the worse family care group (Group B) with 31 cases whose score was less than 7.Both groups received nursing intervention for early recovery period after discharge for 10 to 12weeks,and then SAQ and SDS were used again.Two groups' scores of SAQ and SDS before and after nursing intervention were compared.Results Compared with discharge,SAQ score of both groups 12 weeks later improved.The score of body activity limitation,satisfaction toward treatment and knowledge of disease was respectively (66.00 ± 3.65),(78.78 ± 4.60),(65.25 ± 5.55) in Group A and (63.10 ± 3.69),(67.75 ±6.08),(59.94 ± 5.88) in Group B,and the differences were statistically significant (t =4.244,9.166,5.838 ;respectively ; P ＜ 0.05).There was no statistically significant difference of SDS score between two groups on discharge (P ＞ 0.05).SDS score 12 weeks after discharge was (0.39 ± 0.04) in Group A and (0.42 ± 0.07)in Group B,and the difference was statistically significant (t =-3.277,P ＜ 0.01).Conclusions Nursing intervention for patients with myocardial infarction in recovery period can help improve their quality of life.Good family care can further enhance the effect the nursing intervention,and improve patients' adverse metal status combined with nursing intervention.
