Application effect of comprehensive nursing intervention in acute myocardial infarction treated by intravenous infusion with nitroglycerin
Objective To explore the application effect of comprehensive nursing intervention in acute myocardial infarction treated by intravenous infusion with nitroglycerin.Methods A total of 120 patients with acute myocardial infarction admitted to Cardiovascular Medicine Department,Zhengzhou Yihe Hospital from June 2021 to June 2023 were selected and were divided into a reference group and an experimental group by the random number table method,with 60 cases in each group.In the reference group,there were 31 males and 29 females,aged(53.78±8.23)years,and the onset time was(6.06±2.15)h.There were 28 males and 32 females in the experimental group,aged(53.81±8.14)years,and the onset time was(6.11±2.32)h.Both groups were given intravenous infusion with nitroglycerin.On the basis,the reference group was given routine nursing,and the experimental group was given comprehensive nursing intervention,including psychological intervention,environmental intervention,diet nursing,complication prevention,and rehabilitation nursing.The duration of nursing intervention in the two groups began from patients receiving intravenous infusion with nitroglycerin to the end of treatment.The negative emotion scores,self-care abilities,and qualities of life before and after intervention and complications were compared between the two groups.x2 test and t test were used.Results After intervention,the scores of Self-rating Anxiety Scale and Self-rating Depression Scale in the experimental group were lower than those in the reference group[(35.05±3.52)points vs.(46.49±4.43)points,(36.11±3.32)points vs.(45.21±4.92)points](t=11.554 and 9.265,both P＜0.001).The scores of health cognition[(22.05±2.52)points],self-concept[(21.05±2.32)points],self-care[(21.72±2.23)points],self-responsibility[(22.76±2.61)points],psychological function[(72.05±6.52)points],social function[(74.11±6.32)points],material life status[(75.12±6.23)points],and somatic symptoms[(74.12±6.23)points]in the experimental group were higher than those in the reference group[(18.49±2.03),(19.01±2.92),(18.80±2.81),(19.01±2.26),(65.49±5.43),(64.21±5.92),(66.30±5.11),and(65.16±5.61)points],with statistically significant differences(t=8.521,4.237,6.305,8.413,5.988,8.855,8.478,and 8.278,all P＜0.001).The complication rate of the experimental group was lower than that of the reference group[5.0％(3/60)vs.16.7％(10/60)](x2=4.227,P=0.040).Conclusion In patients with acute myocardial infarction treated by intravenous infusion with nitroglycerin,comprehensive nursing intervention can effectively reduce the patients'psychological burden,promote the recovery of the disease,improve the patients'self-care ability,improve the quality of life,reduce the risk of complications,and improve the prognosis.
Acute myocardial infarctionNitroglycerinComprehensive nursing interventionSelf-care abilityQuality of lifeComplications
万方数据
维普
