首页|基于双心医学模式的干预对CCU急性心肌梗死合并心力衰竭患者心理状态、睡眠质量和生存质量的影响

基于双心医学模式的干预对CCU急性心肌梗死合并心力衰竭患者心理状态、睡眠质量和生存质量的影响

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目的 探讨基于双心医学模式的干预对冠心病监护病房(CCU)急性心肌梗死合并心力衰竭患者心理状态、睡眠质量和生存质量的影响.方法 纳入2020年12月至2022年12月CCU收治的急性心肌梗死合并心力衰竭患者120例为研究对象,随机分2组,每组60例.参照组采用常规干预,试验组在参照组基础上实施基于双心医学模式的干预,比较2组的心理状态、睡眠质量、生存质量和疾病管理能力.结果 2组干预后的汉密尔顿焦虑量表(HAMA)评分和汉密尔顿抑郁量表(HAMD)评分均低于干预前,且试验组低于参照组(P<0.05).2组干预后的匹兹堡睡眠质量指数(PSQI)评分均低于干预前,且试验组低于参照组(P<0.05).2组干预后的世界卫生组织生存质量测定量表(WHO-QOL-BRE)评分均高于干预前,且试验组高于参照组(P<0.05).2组干预后的疾病管理能力评分均高于干预前,且试验组高于参照组(P<0.05).结论 CCU急性心肌梗死合并心力衰竭患者采用基于双心医学模式的干预,能有效改善患者的心理状态和睡眠质量,提高患者的生存质量和疾病管理能力.
Effects of interventions based on the dual heart medical model on the psychological state,sleep quality,and quality of life of patients with acute myocardial infarction and heart failure in CCU
Objective To explore the impact of interventions based on the dual heart medical model on the psychological status,sleep quality,and quality of life of patients with acute myocardial infarction and heart failure in coronary care unit(CCU).Methods A total of 120 patients with acute myocardial infarction and heart failure admitted from December 2020 to December 2022 in CCU were included as the study subjects.They were randomly divided into the experimental group and control group,with 60 patients in each group.All patients were intervened by routine nursing care,and those in the experimental group were additionally managed by interventions based on the dual heart medical model.The psychological status,sleep quality,quality of life,and disease management ability of the two groups were compared.Results After interventions,the Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)scores of both groups were lower than those before intervention,which were significantly lower in the experimental group than those of the control group(P<0.05).The Pittsburgh Sleep Quality Index(PSQI)after intervention in both groups was lower than that before intervention,which was significantly lower in the experimental group than that of the control group(P<0.05).The World Health Organization Quality of Life Scale(WHO-QOL-BRE)scores after intervention in both groups were higher than those before intervention,which were significantly higher in the experimental group than those of the control group(P<0.05).The disease management ability scores of both groups after intervention were higher than before intervention,which were significantly higher in the experimental group than those of the control group(P<0.05).Conclusion Interventions based on the dual heart medical model can effectively improve the psychological state and sleep quality of CCU patients with acute myocardial infarction and heart failure,and improve their quality of life,and disease management ability.

acute myocardial infarctioncoronary care unitsleep qualitypsychological statedual heart medical model

于江燕、张翠平、吴欣欣

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100015 北京市,首都医科大学附属北京地坛医院CCU

急性心肌梗死 冠心病监护病房 睡眠质量 心理状态 双心医学模式

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(8)
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