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【摘要】目的 探討心理護(hù)理改善老年冠心病患者負(fù)面情緒的效果，總結(jié)臨床經(jīng)驗(yàn)。方法 本次研究選擇我院2013月9月～2014年7月收治的226例老年冠心病患者作為研究對(duì)象，按照護(hù)理措施的不同分為觀察組113例和對(duì)照組113例，對(duì)照組患者行常規(guī)護(hù)理措施，觀察組在常規(guī)護(hù)理基礎(chǔ)上實(shí)施綜合心理護(hù)理干預(yù)，對(duì)比兩組患者的療效和焦慮、抑郁情緒改善情況。結(jié)果 護(hù)理治療后，觀察組患者抑郁評(píng)分、焦慮評(píng)分和治療顯效率都顯著優(yōu)于對(duì)照組，差異具有統(tǒng)計(jì)學(xué)意義（P<0.05），觀察組治療總有效率顯著高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 心理護(hù)理干預(yù)應(yīng)用于老年冠心病患者護(hù)理中效果明顯，可有效改善患者負(fù)面情緒，降低患者焦慮和抑郁的程度。

【關(guān)鍵詞】心理護(hù)理；老年冠心病患者；負(fù)面情緒

【中圖分類號(hào)】R473.5 【文獻(xiàn)標(biāo)識(shí)碼】B

Analysis of the effect of improving the psychological care of patients of coronary heart disease in elderly negative emotions

ZHU Xiu-mei，MEI Hai-hui

（Tang Yang Center Hospital， Jiangsu Dongtai 224200，China ）

【Abstract】Objective Analysis of the effect of improving the psychological care of patients of coronary heart disease in elderly negative emotions， summarize clinical experience. Methods This study in our hospital in January 2013 to September October 2014 treated 226 cases of of coronary heart disease in elderly patients as research subjects， according to different nursing interventions into the observation group 113 cases and the control group 113 cases， the control group underwent routine care measures. Observation group implementing comprehensive psychological nursing intervention on the basis of routine care. Compared two groups of patients with the therapeutic effect and anxiety and depression to improve the situation. Results Treatment and after care. Depression scores in patients， anxiety score， the cure rate in the observation group is better than the control group. The difference was highly statistically significant （P<0.05）. Total effective observation group was significantly higher， the difference was statistically significant （P<0.05）. Conclusion Effect of psychological nursing intervention in elderly patients of coronary heart disease significantly， can effectively improve the patient's negative emotions and reduce the extent of the patient's anxiety and depression.

【Key words】Psychological care； Elderly patients with of coronary heart disease； Nnegative emotions

隨著我國人口老齡化社會(huì)的到來和人們生活習(xí)慣與飲食結(jié)構(gòu)的變化，我國冠心病發(fā)病率和致死率呈現(xiàn)出顯著的逐年升高的態(tài)勢(shì)，且越來越與歐美國家冠心病發(fā)病率接近[1]。大多數(shù)冠心病患者在病情發(fā)作和治療過程中，均伴隨不同程度的抑郁或者焦慮等負(fù)面情緒。這些負(fù)面情緒不僅會(huì)加重患者病情，還會(huì)對(duì)患者生活質(zhì)量造成嚴(yán)重影響，甚至增加冠心病患者的死亡率。因此，冠心病患者在疾病治療時(shí)需要增加有效的心理護(hù)理干預(yù)措施，引導(dǎo)患者改善負(fù)面情緒[2]。我院在本次研究中選擇2013月9月～2014年7月收治的226例冠心病患者作為研究對(duì)象，并采取分組對(duì)照方式觀察分析心理護(hù)理干預(yù)應(yīng)用于冠心病患者護(hù)理中的療效，現(xiàn)總結(jié)如下。

1 資料與方法

1.1 一般資料

本次研究中選取2013月9月～2014年7月到我院就診的226例老年冠心病患者作為研究對(duì)象，所有患者在入院時(shí)均進(jìn)行臨床檢查和抑郁自評(píng)量表與焦慮自評(píng)量表分析，確診為冠心病，且伴隨不同程度的抑郁和焦慮負(fù)面情緒。將其按照護(hù)理措施的不同分為觀察組113例和對(duì)照組113例，觀察組中男74例，女39例，年齡51～84歲，平均年齡（59.98±12.06）歲；對(duì)照組中男75例，女38例，年齡51～81歲，平均年齡（59.12±12.47）歲。兩組患者性別、年齡及病情等臨床資料比較差異均無統(tǒng)計(jì)學(xué)意義（P>0.05）。