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目的探讨护理单元护理干预在改善冠心病患者心理健康和应对方式中的效果。方法 100例冠心病患者,按照随机数字法分为对照组(给予常规护理干预)及观察组(在对照组基础上给予护理单元护理干预),各50例。对比两组患者的心境状态评分与应对方式评分。结果干预后,两组患者心境状态各维度评分及积极应对、消极应对评分均较本组干预前改善,且观察组患者慌乱、抑郁、疲劳、紧张、愤怒、精力及自尊感评分[(41.4±3.9)、(45.9±4.5)、(43.1±4.2)、(44.6±4.7)、(37.3±3.5)、(63.5±5.5)、(62.7±5.7)分]显著优于对照组[(50.7±4.7)、(55.7±5.2)、(52.4±5.0)、(53.8±5.4)、(48.0±4.3)、(52.7±4.9)、(53.1±5.1)分],差异均具有统计学意义(P<0.05)。观察组积极应对评分(24.21±2.68)分高于对照组(20.78±3.13)分,消极应对评分(9.54±3.61)分低于对照组(11.92±4.81)分,差异均具有统计学意义(P<0.05)。结论在冠心病患者护理中选择护理单元护理干预可显著改善患者心理健康及应对方式,提高患者治疗依从性,对患者有积极的促进作用,具有在临床中广泛推广的价值。
Objective To explore the effect of nursing unit nursing intervention on improving mental health and coping style of patients with coronary heart disease. Methods 100 patients with coronary heart disease were randomly divided into control group (given routine nursing intervention) and observation group (nursing unit nursing intervention on the basis of control group), 50 cases in each group. The scores of state of mind and coping styles of two groups were compared. Results After intervention, scores of each dimension of the state of mind in both groups and positive coping and negative coping scores improved compared with those before the intervention in this group, and scores of panic, depression, fatigue, tension, anger, energy and self-esteem in the observation group [(41.4 ± (45.9 ± 4.5), (43.1 ± 4.2), (44.6 ± 4.7), (37.3 ± 3.5), (63.5 ± 5.5), (62.7 ± 5.7) ), (55.7 ± 5.2), (52.4 ± 5.0), (53.8 ± 5.4), (48.0 ± 4.3), (52.7 ± 4.9), (53.1 ± 5.1), respectively ). The positive coping score in the observation group was significantly higher (24.21 ± 2.68) than that in the control group (20.78 ± 3.13), and the negative coping score (9.54 ± 3.61) was lower than that in the control group (11.92 ± 4.81), the differences were statistically significant (P <0.05). Conclusion Nursing intervention in patients with coronary heart disease nursing care unit can significantly improve the patient’s mental health and coping styles, improve patient compliance, patients have a positive role in promoting, with clinical value widely.