|
|
Influence of social support combined with family support for acute myocardial infarction patients |
ZOU Xin SUN Lei LIU Ling |
The Fourth Departments of Cardiovascular Medicine, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, Liaoning Province, Dalian 116033, China |
|
|
Abstract Objective To approach influence of social support combined with family support for acute myocardial infarction patients. Methods From January 2016 to January 2018, 300 patients with acute myocardial infarction admitted to Dalian Municipal Central Hospital Affiliated of Dalian Medical University were selected as the study subjects. Patients were divided into routine nursing intervention group (n = 149) and double-item support group (n = 151) according to the random number table method. The routine nursing intervention group adopted the general nursing intervention measures, social support combined with family support was used in the double-item support group. Before and after intervention, psychological resilience scale, general self-efficacy scale, social support scale, family function scale and coping style scale were evaluated, cardiac output, left ventricular ejection fraction, cardiac index and stroke output were measured, and treatment compliance and satisfaction were observed. Results There were no significant differences in mental resilience scale score and general self-efficacy score between the two groups before and after the implementation of nursing measures (all P > 0.05). Before intervention, there were no statistically significant differences in social support score, family function score, coping style score, cardiac output, left ventricular ejection fraction, cardiac index and stroke output between the two groups (all P > 0.05). Compared with before intervention, after the intervention of the above indicators of the two groups were significantly increased, compared with routine nursing intervention group after the intervention, the function of social support score, family function score, coping style score, cardiac output, left ventricular ejection fraction, cardiac index and stroke volume of the double-item support group were significantly elevated, the differences were statistically significant (all P < 0.05). Treatment compliance and satisfaction of patients in the double-item support group were significantly higher than those in the routine nursing intervention group, and the differences were statistically significant (P < 0.05). Conclusion Social support combined with family support for patients with acute myocardial infarction can improve their social support, family function and coping ability, and improve cardiac output, left ventricular ejection fraction, cardiac index and output per stroke, which is worthy of clinical promotion and application.
|
|
|
|
|
[1] 李馨,史作霞,阎敬.IABP支持下急诊PCI治疗急性心肌梗死患者治疗术后出血情况和护理[J].继续医学教育,2016,30(7):127-128.
[2] Smaradottir MI,Ritsinger V,Gyberg V,et al. Copeptin in patients with acute myocardial infarction and newly detected glucose abnor-malities-A marker of increased stress susceptibility A report from the Glucose in Acute Myocardial Infarction cohort [J]. Diab Vasc Dis Res,2017, 14(2):69-76.
[3] 孙雷雷,杜英杰,车淑玉,等.IABP支持下急诊PCI治疗急性心肌梗死并心源性休克的疗效观察[J].现代生物医学进展,2016,16(6):1111-1114,1143.
[4] Ranjith N,Myeni NN,Sartorius B,et al. Association Between Hyperu-ricemia and Major Adverse Cardiac Events in Patients with Acute Myocardial Infarction [J]. Metab Syndr Relat Disord,2017,15(1):18-25.
[5] 肖丽.授权教育结合家庭支持对急性心肌梗死恢复期病人自护能力及遵医行为的影响[J].蚌埠医学院学报,2018, 43(12):1645-1648.
[6] Beig JR,Tramboo NA,Kumar K,et al. Components and determinants of therapeutic delay in patients with acute ST-elevation myocardial infarction:A tertiary care hospital-based study [J]. J Saudi Heart Assoc,2017,29(1):7-14.
[7] Matthews EE,Berger AM,Schmiege SJ,et al. Cognitive behavioral therapy for insomnia outcomes in women after primary breast cancer treatment:a randomized,controlled trial [J]. Oncol Nurs Forum,2014,41(3):241.
[8] 王新丽,姚丽,袁萍,等.急性心肌梗死患者PCI术后心理弹性、应对方式与自我效能的对照研究[J].宁夏医科大学学报,2016,38(4):459-462.
[9] Thygesen K,Alpert JS,Jaffe AS,et al. Third Universal Definition of Myocardial Infarction [J]. Circulation,2012, 126(16):2020-2035.
[10] 姜乾金.医学心理学[M].北京:科学技术出版社,1993:106-3310.
[11] 王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学,2001,7(1):37-40.
[12] 陆婷,高钰琳,张近近,等.中文版产后社会支持量表的信效度研究[J].中国实用护理杂志,2014,30(5):26-28.
[13] 李荣风,徐夫真,纪林芹,等.家庭功能评定量表的初步修订[J].中国健康心理学杂志,2013,21(7):996-1000.
[14] 赵振娟,刘莉莉,林平.急性心肌梗死患者的心理弹性现状及影响因素研究[J].护理学报,2016,23(14):67-70.
[15] Park SY,Kim JK,Lee SA. The effects of a community-centered muscle strengthening exercise program using an elastic band on the physical abilities and quality of life of the rural elderly [J]. J Phys Ther Sci,2015,27(7):2061-2063.
[16] 周锡芳,薛蓓蕾,王杨,等.护航舰队官兵自我效能、社会支持及应对方式与心理健康的关系[J].中国健康心理学杂志,2016,24(6):836-840.
[17] Witteman HO,Presseau J,Nicholas Angl E,et al. Negotiating Tensions Between Theory and Design in the Development of Mailings for People Recovering From Acute Coronary Syndrome [J]. JMIR Hum Factors,2017,4(1):e6.
[18] 杨婷婷,赵振娟.社会支持干预对急性心肌梗死患者家属照顾能力的影响[J].中华全科医学,2018,16(5):813-815,819.
[19] Qaseem A,Wilt TJ,Rich R,et al. Pharmacologic Treatment of Hyper-tension in Adults Aged 60 Years or Older to Higher Versus Lower Blood Pressure Targets:A Clinical Practice Guideline From the Ameri-can College of Physicians and the American Academy of Family Physicians [J]. Ann Intern Med,2017,166(6):430-437.
[20] 俞志红,朱利月,严婷,等.有氧运动8周对急性心肌梗死患者睡眠质量及情绪的影响[J].中华全科医学,2016, 14 (9):1439-1441.
[21] Seitz DC,Knaevelsrud C,Duran G,et al. Efficacy of an internet-based cognitive-behavioral intervention for long-term survivors of pediatric cancer:a pilot study [J]. Support Care Cancer,2014,22(8):2075.
[22] 姚丽,王新丽,王茹.急性心肌梗死患者PCI术后心理弹性与自我效能的相关性分析[J].齐鲁护理杂志,2016, 22(8):9-11.
[23] Leu HB,Yin WH,Tseng WK,et al. Identification of new biosignatures for clinical outcomes in stable coronary artery disease-The study protocol and initial observations of a prospective follow-up study in Taiwan [J]. BMC Cardiovasc Disord,2017,17(1):42.
[24] Romana-Souza B,Santos Lima-Cezar G,Monte-Alto-Costa A. Psychological stress-induced catecholamines accelerates cutaneous aging in mice [J]. Mech Ageing Dev,2015,15(2):63-73.
[25] 黎华娇.自我效能、社会支持与应对方式对老年急性心肌梗死患者心理弹性的影响[J].护理实践与研究,2017, 14(2):16-18. |
|
|
|