基于斯奈德希望理论的护理模式在急性心肌梗死患者急救护理中的应用
Nursing model based on Snyder's hope theory in emergency care of patients with acute myocardial infarction.
作者信息
Chen Juan, Xu Wenxia, Cai Xun, Chen Chunyan
机构信息
Emergency Department, Rugao People's Hospital Rugao 226500, Jiangsu, China.
出版信息
Am J Transl Res. 2023 Jul 15;15(7):4770-4778. eCollection 2023.
OBJECTIVE
To investigate the effect of Snyder's hope theory in emergency care for patients with acute myocardial infarction (AMI).
METHODS
This retrospective study included 200 AMI patients admitted to Rugao People's Hospital from January 2019 to December 2021. The patients were divided into a conventional group (routine care, n=100) and an intervention group (care based on Snyder's Hope theory, n=100) according to differences in nursing approach. Baseline data of the two groups were collected. The psychological state was evaluated using the self-rating anxiety scale (SAS) and self-rating depression scale (SDS). Self-care ability was assessed using the exercise of self-care agency (ESCA) scale. The myocardial enzyme indexes including cardiac troponin T (cTnT) and myocardial creatine kinase isoenzyme (CK-MB), as well as electrocardiogram index (Tp-Te/QT) were compared between the two groups. Complications of the two groups were recorded, and the risk factors for complications in the intervention group were examined.
RESULTS
After nursing, the SAS and SDS scores in the intervention group were lower than those in the conventional group (P < 0.05). The ESCA scores in all dimensions were higher in the intervention group than those of the conventional group (P < 0.05). The cTnT and CK-MB decreased in both groups, but the decreases in the intervention group were greater than those of the conventional group (P < 0.05). The Tp-Te/QT in the intervention group (0.25±0.04) was lower than that in the conventional group (0.32±0.06, P < 0.05). The incidence of complications in the intervention group was 9.00%, lower than 21.00% in the conventional group (P < 0.05). Multivariate logistic regression analysis showed that cTnT, CK-MB, and Tp-Te/QT were influencing factors for complications in the intervention group (P < 0.05).
CONCLUSION
The effect of nursing based on Snyder's hope theory in emergency care fof AMI patients is promising because it can improve the psychological state of patients and reduce the incidence of complications.
目的
探讨斯奈德希望理论在急性心肌梗死（AMI）患者急救护理中的应用效果。
方法
本回顾性研究纳入了2019年1月至2021年12月期间如皋市人民医院收治的200例AMI患者。根据护理方式的不同，将患者分为常规组（常规护理，n = 100）和干预组（基于斯奈德希望理论的护理，n = 100）。收集两组的基线数据。采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评估心理状态。采用自我护理能力测定量表（ESCA）评估自我护理能力。比较两组的心肌酶指标，包括心肌肌钙蛋白T（cTnT）和心肌肌酸激酶同工酶（CK-MB），以及心电图指标（Tp-Te/QT）。记录两组的并发症情况，并分析干预组并发症的危险因素。
结果
护理后，干预组的SAS和SDS评分低于常规组（P < 0.05）。干预组各维度的ESCA评分均高于常规组（P < 0.05）。两组的cTnT和CK-MB均下降，但干预组的下降幅度大于常规组（P < 0.05）。干预组的Tp-Te/QT（0.25±0.04）低于常规组（0.32±0.06，P < 0.05）。干预组并发症发生率为9.00%，低于常规组的21.00%（P < 0.05）。多因素logistic回归分析显示，cTnT、CK-MB和Tp-Te/QT是干预组并发症的影响因素（P < 0.05）。
结论
基于斯奈德希望理论的护理在AMI患者急救护理中的效果显著，因为它可以改善患者的心理状态，降低并发症的发生率。
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