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目的研究急性心肌梗死患者焦虑与抑郁状况及护理干预措施的效果。方法 2016年1月~2017年1月期间,选择本院接收的急性心肌梗死患者患者82例作为研究对象。收集所有患者的临床资料,根据患者年龄将患者分为两组,年龄<60岁的为观察组,共有40例患者;年龄≥60岁的设为对照组,共有42例患者,对患者相关情况进行分析,对比发病危险因素,比较治疗前、后焦虑以及抑郁情况,总结分析相应的护理干预体会。结果观察组患者冠心病家族史、高血脂、吸烟、饮酒率比对照组高,高血压、糖尿病率比对照组低,有统计学意义(P<0.05);治疗前,观察组患者焦虑、抑郁评分比对照组高,有统计学意义(P<0.05);观察组、对照组患者治疗后焦虑、抑郁评分比治疗前低,有统计学意义(P<0.05)。结论冠心病家族史、高血脂、吸烟、饮酒是中青年群体发生急性心肌梗死的危险因素,且该中青年群体更容易发生焦虑和抑郁,临床上需要加强对患者针对性的护理干预,消除不良因素,以维护患者健康。
Objective To study the effect of anxiety and depression in patients with acute myocardial infarction and nursing interventions. Methods From January 2016 to January 2017, 82 patients with acute myocardial infarction who were admitted to our hospital were selected as the study subjects. The clinical data of all patients were collected. The patients were divided into two groups according to the patient’s age. The patients under 60 years of age were in the observation group, a total of 40 patients. The patients aged 60 and older were selected as the control group. A total of 42 patients were included. Analysis, comparison of risk factors, compared before and after treatment, anxiety and depression, summarize the corresponding experience of nursing intervention. Results The family history of coronary heart disease, hyperlipidemia, smoking and drinking rate in observation group were higher than those in control group. The rates of hypertension and diabetes were lower in observation group than those in control group (P <0.05). Before treatment, anxiety and depression The scores of anxiety and depression in observation group and control group were significantly lower than those before treatment (P <0.05). Conclusion Family history of coronary heart disease, hyperlipidemia, smoking and drinking are the risk factors of acute myocardial infarction in middle-aged and young adults, and the young and middle-aged people are more prone to anxiety and depression. Therefore, it is necessary to strengthen the targeted nursing intervention and eliminate the bad patients Factors to maintain patient health.