心理護(hù)理對(duì)急性冠脈綜合征合并糖尿病患者介入手術(shù)前后心理狀況的改善研究

劉曉洪 俞辰榮 陳琦

[摘要] 目的 研究對(duì)急性冠脈綜合征合并糖尿病患者實(shí)施心理護(hù)理對(duì)其介入手術(shù)前后心理狀況的改善效果。方法 該次研究共納入106例觀察對(duì)象，全部是2018年5月—2019年10月在該院接受介入手術(shù)治療的急性冠脈綜合征合并糖尿病患者，隨機(jī)分成兩組，即對(duì)照組和實(shí)驗(yàn)組。將兩組患者護(hù)理后的血糖情況、生活質(zhì)量與不良情緒進(jìn)行對(duì)比。結(jié)果 相比于對(duì)照組，實(shí)驗(yàn)組患者護(hù)理后的糖化血紅蛋白水平、餐后2 h血糖水平、空腹血糖水平、焦慮情緒評(píng)分與抑郁情緒評(píng)分均更低，其各項(xiàng)生活質(zhì)量評(píng)分均更高（P<0.05）。結(jié)論 對(duì)急性冠脈綜合征合并糖尿病患者實(shí)施心理護(hù)理具有十分理想的效果，可使患者的血糖指標(biāo)得到改善，患者的不良情緒程度得到緩解，且可提高患者的生活質(zhì)量。

[關(guān)鍵詞] 糖尿病;心理護(hù)理;介入手術(shù);急性冠脈綜合征

[中圖分類號(hào)] R47? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1672-4062（2020）10（a）-0020-03

[Abstract] Objective To study the effect of psychological nursing for patients with acute coronary syndrome combined with diabetes before and after interventional surgery. Methods A total of 106 observation subjects were included in this study， all of whom were patients with acute coronary syndrome and diabetes who underwent interventional surgery in the hospital from May 2018 to October 2019. They were randomly divided into two groups， namely the control group and the experiment group. The blood glucose， quality of life and bad mood of the two groups of patients after nursing were compared. Results Compared with the control group， patients in the experimental group had lower levels of glycosylated hemoglobin after nursing， 2 h postprandial blood glucose levels， fasting blood glucose levels， anxiety scores， and depression scores， and their quality of life scores were higher（P<0.05）. Conclusion Psychological care for patients with acute coronary syndrome and diabetes mellitus has a very ideal effect. It can improve the blood glucose index of the patient， relieve the patient's bad mood， and improve the quality of life of the patient.

[Key words] Diabetes; Psychological care; Interventional surgery; Acute coronary syndrome

急性冠脈綜合征是臨床常見(jiàn)的心血管疾病，多發(fā)于老年群體，對(duì)患者身體健康的影響極大，且具有較高的病死率。糖尿病是臨床常見(jiàn)的內(nèi)分泌系統(tǒng)疾病，其病程極長(zhǎng)，會(huì)導(dǎo)致患者的血糖長(zhǎng)期處于較高狀態(tài)，對(duì)患者的心血管系統(tǒng)、神經(jīng)系統(tǒng)、肝臟等均會(huì)造成損害，其多發(fā)于中老年群體。兩種疾病的發(fā)病群體有重合部分，再加上糖尿病患者的心血管系統(tǒng)會(huì)受到慢性損害，因此兩種疾病合并發(fā)作的情況在臨床上較為常見(jiàn)，會(huì)導(dǎo)致患者的病情加重，對(duì)患者身體健康與生命安全的影響加劇，且增加治療的難度[1]。目前臨床對(duì)該疾病主要采用介入手術(shù)進(jìn)行治療，具有理想效果，但患者對(duì)疾病與介入手術(shù)缺少了解，使得其手術(shù)前很容易出現(xiàn)恐懼、緊張等不良情緒。……