急性冠脉综合征患者介入术后实施综合护理对服药依从性及不良情绪的改善作用

欧阳元芳 曾丽 袁君

【摘要】目的 分析急性冠脉综合征患者介入术后实施综合护理对服药依从性及不良情绪的改善作用。方法 研究对象为2018年12月至2020年11月期间入我院进行介入术治疗的68例急性冠脉综合征患者。间期随机分组为研究组与对照组，每组各34例。研究组实施综合护理，对照组实施常规护理。对比两组患者的服药依从性、不良情绪评分、疗效。结果 护理前，两组患者的服药依从性、不良情绪评分无显著差异（P>0.05）；经过护理后，研究组患者的服药依从性高于对照组，不良情绪评分低于对照组，差异有统计学意义（P<0.05）。研究组患者的治疗总有效率高于对照组，差异有统计学意义（P<0.05）。结论 急性冠脉综合征患者介入术后实施综合护理，能有效改善患者的不良情绪，提高患者的服药依从性，对促进患者疗效提升具有重要作用。

【关键词】急性冠脉综合征；介入术；综合护理；服药依从性；不良情绪

[中图分类号]R248.1 [文献标识码]A [文章编号]2096-5249（2021）13-0112-03

Effect of comprehensive nursing on medication compliance and bad mood of patients with acute coronary syndrome after intervention

OUYANG Yuan-fang， ZENG Li， YUAN Jun（Shenzhen Qianhai Shekou Free Trade Zone Hospital， Shenzhen Guangdong 518067， China）

[Abstract] Objective： To analyze the effect of comprehensive nursing on medication compliance and bad mood in patients with acute coronary syndrome after percutaneous coronary intervention. Methods： 68 patients with acute coronary syndrome who underwent interventional therapy in our hospital from December 2018 to November 2020 were enrolled. They were randomly divided into study group and control group， 34 cases in each group. The study group received comprehensive nursing， and the control group received routine nursing. The medication compliance， adverse emotion score and curative effect of the two groups were compared. Results： Before nursing， there was no significant difference in medication compliance and adverse emotion scores between the two groups （P > 0.05）； after nursing， the medication compliance of the study group was higher than that of the control group， and the adverse emotion score was lower than that of the control group， with statistical significance（P < 0.05）. The total effective rate of the study group was higher than that of the control group， the difference was statistically significant （P < 0.05）. Conclusion： The implementation of comprehensive nursing in patients with acute coronary syndrome after intervention can effectively improve the bad mood of patients， improve the medication compliance of patients， and play an important role in promoting the curative effect of patients.

[Key words] Acute coronary syndrome； Intervention； Comprehensive nursing； Medication compliance； Bad mood

急性冠脈综合征是临床上较为常见的心血管疾病，是一组由急性心肌缺血造成的临床综合征。胸痛是该疾病患者的主要临床表现，少数患者存在胸闷、头晕、气促等症状[1]。介入术是目前治疗急性冠脉综合征患者的常用方式，当该手术并不能完全改善患者的病情，患者在术后仍然需要坚持用药来促进康复[2]。但是许多患者因为对疾病、介入术治疗等的了解不足，加之心理状态差等，造成患者在术后的服药依从性受到影响，对该疾病患者的整体疗效具有较大影响[3]。……