Effects of graded management based on mental state on self-care ability,mental state,sleep quality and quality of life of patients with coronary heart disease in emergency intensive care unit
10.3969/j.issn.1008-0074.2024.05.24
- VernacularTitle:基于心理状态的分级管理对冠心病急诊危重病监护室患者自我护理能力、心理状态、睡眠质量和生活质量的影响
- Author:
Ying-Ying GUO
1
;
Hai-Jiao JI
;
Jing LUO
Author Information
1. 南京市中西医结合医院急诊科,江苏南京 210014
- Keywords:
Coronary disease;
Coronary care units;
Nursing care;
Quality of life
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2024;33(5):630-634
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To implement graded management based on mental state on patients with coronary heart dis-ease(CHD)in emergency intensive care unit(ICU),and analyze its clinical application value.Methods:A total of 110 CHD ICU patients admitted to Nanjing Hospital of Integrated Traditional Chinese and Western Medicine be-tween February 2020 and February 2023 were selected.They were divided into control group and observation group according to random number tablc method,with 55 cases in each group.The control group was given routine nurs-ing,and the observation group was given graded management based on psychological status.Both groups were inter-vened for a mean 2 weeks.Scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS),exer-cise of self-care agency(ESCA),Pittsburgh sleep quality index(PSQI)and the MOS 36-Item Short Form Health Survey(SF-36),cardiac function indexes before and after intervention,and incidence of adverse events were com-pared between two groups.Results:Compared with control group,there were significant decrease in scores of SAS[(60.56±3.39)points vs.(51.33±2.75)points],SDS[(62.07±2.76)points vs.(49.28±2.41)points]and PSQI[(13.41±2.32)points vs.(7.90±2.07)points],left atrial diameter[(39.06±1.05)mm vs.(36.69±1.37)mm],left ventricular end systolic diameter[(48.73±1.34)mm vs.(41.48±2.49)mm]and the incidence of ad-verse events(28.00％vs.8.00％)(P＜0.01 all);and significant increase in scores of ESCA[(142.48±4.83)points vs.(154.03±4.94)points],SF-36[(615.75±29.36)points vs.(731.56±38.43)points]and left ven-tricular ejection fraction[(50.31±3.21)％vs(63.60±3.02)％]in observation group(P＜0.001 all).Conclusion:Graded management based on mental state can significantly improve the mental state,quality of life,sleep quality,heart function and self-care ability of patients with coronary heart disease in emergency intensive care unit,and has high application value.
