Abstract：Objective To systematically evaluate the emotional intervention effect of psychological nursing on elderly patients with acute myocardial infarction. Methods The retrieval formula was compiled with the key words “acute myocardial infarction” and “psychological nursing”, and the academic papers in various Chinese and English medical databases such as VIP, the Cochrane Library, CNKI, Web of Science, CBM, PubMed and Wanfang Data were searched and screened. The retrieval time limit was from the inception to December 2021, the bias risk assessment and meta analysis of the included literature were carried out by RevMan 5.3 software of Cochrane company. Results A total of 11 randomized controlled trials were included. Meta-analysis showed that psychological nursing could significantly reduce the anxiety self-rating scale in elderly patients with acute myocardial infarction (MD = -5.95, 95%CI: -6.61 to -5.29, P ＜ 0.000 01) and depression self-rating scale (MD = -8.98, 95%CI:-9.77 to -8.19, P ＜ 0.000 01). Conclusion Psychological nursing can significantly improve the psychological states of elderly patients with acute myocardial infarction, such as anxiety and depression. At the same time, it can also improve the compliance and quality of life of patients, which is worthy of promotion in clinic.
郭燕 刘颖▲ 安丽珺. 心理护理对老年急性心肌梗死患者情绪干预效果的meta分析[J]. 中国医药导报, 2022, 19(18): 149-153.
GUO Yan LIU Ying▲ AN Lijun. Meta analysis of the effect of emotional intervention of psychological nursing on elderly patients with acute myocardial infarction. 中国医药导报, 2022, 19(18): 149-153.
[1] Thygesen K，Alpert JS，Jaffe AS，et al. Fourth universal definition of myocardial infarction（2018）[J]. J Am Coll Cardiol，2018，72（18）：2231-2264.
[2] Shi O，Khan AM，Rezai MR，et al. Factors associated with door-in to door-out delays among ST-segment elevation myocardial infarction （STEMI） patients transferred for primary percutaneous coronary intervention：a population-based cohort study in Ontario，Canada [J]. BMC Cardiovasc Disord，2018，18（1）：204-205.
[3] Li X，Murugiah K，Li J，et al. Urban-rural comparisons in hospital admission，treatments，and outcomes for ST-segment-elevation myocardial infarction in China from 2001 to 2011：a retrospective analysis from the China PEACE Study （Patient- Centered Evaluative Assessment of Cardiac Events） [J]. Circ Cardiovasc Qual Outcomes，2017， 10（11）：e003905-e003906．
[4] Dakota I，Dharma S，Andriantoro H，et al. “Door-in to door-out” delay in patients with acute ST-segment elevation myocardial infarction transferred for primary percutaneous coronary intervention in a metropolitan STEMI Network of a developing country [J]. Int J Angiol，2020，29（1）：27-32.
[5] Ibanez B，James S，Agewall S，et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation：the Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology （ESC） [J]. Eur Heart J，2018，39（2）：119-177.
[6] Wong GC，Welsford M，Ainsworth C，et al. 2019 Canadian Cardiovascular Society /Canadian Association of Interventional Cardiology Guidelines on the acute management of ST-elevation myocardial infarction：focused update on regionalization and reperfusion [J]. Can J Cardiol，2019，35（2）：107-132.
[7] Foo CY，Bonsu KO，Nallamothu BK，et al. Coronary intervention door-to-balloon time and outcomes in ST-elevation myocardial infarction：a meta-analysis [J]. Heart，2018， 104（16）：1362-1369．
[8] Tsukui T，Sakakura K，Taniguchi Y，et al. Association between the door-to-balloon time and mid-term clinical outcomes in patients with ST-segment elevation myocardial infarction [J]. Intern Med，2020，59（3）：1597-1603.
[9] Karkabi B，Meir G，Zafrir B，et al. Door-to-balloon time and mortality in patients with ST-elevation myocardial infarction undergoing primary angioplasty [J]. Eur Heart J Qual Care Clin Outcomes，2021，7（4）：422-426.
[10] Garcia S，Schmidt CW，Garberich R，et al. Temporal changes in patient characteristics and outcomes in ST-segment elevation myocardial infarction 2003—2018 [J]. Catheter Cardiovasc Interv，2021，97（6）：1109-1117.
[11] 王玉玲，秦力君，林琳，等.急性心肌梗塞患者早期阶梯心理康复护理程序的研究[J].中华护理杂志，2000，35（6）：373-375.
[12] 栾晓娜，秦继秀，冯娇.急性心肌梗死新发心房颤动的影响因素及心理干预分析[J].中国循证心血管医学杂志，2020，12（6）：752-755.
[13] 徐志莹，马杰，李晓燕，等.急诊ICU急性心肌梗死患者的心理干预研究[J].现代中西医结合杂志，2014，23（7）：781-782.
[14] 费晓琴，程震锋，徐华.结构式心理干预对急性心肌梗死患者心理状态及应激水平的影响[J].中华全科医学，2019，17（6）：994-996.
[15] 王霞，蔡蕾，徐丹，等.结构式心理干预在急性心肌梗死患者中的应用[J].中国现代护理杂志，2021，27（3）：399-402.
[16] 王丹娜，陈仙芳，陆弋.心理干预在治疗急性心肌梗死患者焦虑情绪中的作用[J].现代中西医结合杂志，2008， 17（23）：3685-3722.
[17] 吴海燕，潘媛媛，吴红英，等.心理护理干预对急性心肌梗死患者的不良情绪及心理状态的影响研究[J].四川医学，2017，38（10）：1221-1225.
[18] 唐永仙，李悦.心理护理干预在急性心肌梗死患者中应用的效果观察[J].四川医学，2013，34（3）：468-469.
[19] 游水彬.心理护理干预在急性心肌梗死患者中应用的效果观察[J].四川医学，2013，34（7）：1127-1128.
[20] 杨丽，杨跃进.心理护理在改善急性心肌梗死患者焦虑、抑郁情绪中的应用效果[J].中国医药导报，2013，10（4）：136-143.
[21] 李蓓，董瑞馨.心肌梗死患者的心理干预在优质护理服务中的应用[J].中国误诊学杂志，2011，11（31）：7625-7625.
[22] Alrawashdeh A，Nehme Z，Williams B，et al. Emergency medical service delays in ST-elevation myocardial infarction：a meta-analysis [J]. Heart，2020，106（5）：365-373.
[23] Guo S，Niu Y，Cheng Y，et al. Association between ambient temperature and daily emergency hospitalizations for acute coronary syndrome in Yancheng，China [J]. Environ Sci Pollut Res Int，2020，27（4）：3885-3891.
[24] Sharif Nia H，Chan YH，Froelicher ES，et al. Weather fluctuations：predictive factors in the prevalence of acute coronary syndrome [J]. Health Promot Perspect，2019，9（2）：123-130.
[25] Okuno T，Aoki J，Tanabe K，et al. Association of onset-season with characteristics and long-term outcomes in acute myocardial infarction patients：results from the Japanese registry of acute myocardial infarction diagnosed by universal definition （J-MINUET） substudy [J]. Heart Vessels，2019，34（12）：1899-1908.
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