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危机干预在中青年 PCI 术后急性心肌梗死患者中的应用。

The Application of Crisis Intervention in Middle-Aged and Young Patients with Acute Myocardial Infarction after PCI.

机构信息

Department of Cardiovascular Medicine, Affiliated Haian Hospital of Nantong University, Jiangsu, China.

出版信息

Heart Surg Forum. 2021 May 12;24(3):E437-E441. doi: 10.1532/hsf.3771.

Abstract

OBJECTIVE

To investigate the effect of crisis intervention in middle-aged and young patients with acute myocardial infarction after percutaneous coronary stent implantation (PCI).

METHODS

A total of 108 middle-aged and young patients with acute myocardial infarction undergoing PCI were selected from July 2018 to July 2019 in the Department of Cardiology, Hai'an County People's Hospital. They were divided into two groups, according to a random number table, with 54 cases in each group. The control group implemented routine postoperative intervention, and the intervention group implemented postoperative crisis intervention. The changes in the two groups' sense of crisis, mental state, quality of life and hope level before and after the intervention were compared.

RESULTS

The emotional, behavioral, and cognitive scores of the intervention group were lower than those of the control group after 4 weeks of intervention (P < .05). The mental state scores of the intervention group were lower than those of the control group (P < .05). Also, the various quality of life scores were higher than those of the control group (P < .05). The intervention group's hope level scores were higher than the control group (P < .05) after 4 weeks of intervention.

CONCLUSION

The application of crisis intervention to middle-aged and young patients with acute myocardial infarction after PCI can reduce the sense of crisis, improve their mental state and quality of life, and raise the level of hope.

摘要

目的

探讨危机干预对中青年经皮冠状动脉支架植入术(PCI)后急性心肌梗死患者的影响。

方法

选取 2018 年 7 月至 2019 年 7 月在海安县人民医院心内科行 PCI 的中青年急性心肌梗死患者 108 例,按随机数字表法分为两组,每组 54 例。对照组实施常规术后干预,干预组实施术后危机干预。比较两组干预前后危机感知、精神状态、生活质量和希望水平的变化。

结果

干预 4 周后,干预组的情绪、行为和认知评分均低于对照组(P <.05)。干预组的精神状态评分低于对照组(P <.05)。同时,各种生活质量评分均高于对照组(P <.05)。干预 4 周后,干预组的希望水平评分高于对照组(P <.05)。

结论

将危机干预应用于中青年 PCI 后急性心肌梗死患者,可以降低其危机感知,改善其精神状态和生活质量,提高希望水平。

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