马斯洛需要层次论理念的应用对急性心肌梗死患者行经皮冠状动脉介入手术后服药依从性、心理状态及心功能的影响
| 作者: |
1席小红,
2唐金凤,
1李琪
1 淮安市第二人民医院心内科，江苏 淮安 223002 2 淮安市第二人民医院护理部，江苏 淮安 223002 |
| 通讯: |
席小红
Email: yzsjfy@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2019.11.024 |
摘要
目的：探讨马斯洛需要层次论理念的应用对急性心肌梗死患者行经皮冠状动脉介入手术(percutaneous coronary intervention，PCI)后服药依从性、心理状态及心功能的影响。方法：选取2018年6至12月淮安市第二人民医院收治并行PCI手术的急性心肌梗死患者80例，按照随机数字表法随机分成对照组和观察组，每组40例。对照组予以常规围术期护理干预，而观察组则在予以常规围术期护理的基础上联合应用马斯洛需要层次论理念完善患者相关护理。护理干预3个月后，分别对2组患者的护理满意度、心理状态、服药依从性、并发症发生情况及心功能进行比较。结果：1)观察组护理满意度为97.50%，显著高于对照组的80.00%，差异有统计学意义(P<0.05)；2)观察组的焦虑自评量表(self-rating anxiety scale，SAS)、抑郁自评量表(self-rating depression scale，SDS)评分均显著低于对照组，差异有统计学意义(P<0.05)；3)观察组服药依从性等治疗依从性均明显优于对照组，差异有统计学意义(P<0.05)；4)观察组术后并发症发生率、心绞痛发作次数及住院时间均低于对照组，差异有统计学意义(P<0.05)；5)观察组左心室舒张末期容积(left ventricular end diastolic volume，LVEDV)水平明显低于对照组(P<0.05)，左心室射血分数(left ventricular ejection fraction，LVEF)水平和6 min步行实验(6-minute walking distance，6MWD)水平明显高于对照组，差异有统计学意义(P<0.05)。结论：结合马斯洛需要层次论理念对急性心肌梗死行PCI术患者实施相关护理，能有效提高患者护理满意度和服药依从性，促进心脏功能康复并减少并发症发生，在急性心肌梗死患者的护理管理中具有显著优势，值得临床上广泛推广。
关键词：
急性心肌梗死；经皮冠状动脉介入手术；马斯洛需要层次论理念；服药依从性；并发症；心功能
Effect of application of Maslow’s hierarchy of needs on the medication compliance, psychological state and cardiac function of patients with acute myocardial infarction undergoing percutaneous coronary intervention
CorrespondingAuthor: XI Xiaohong Email: yzsjfy@163.com
DOI: 10.3978/j.issn.2095-6959.2019.11.024
Abstract
Objective: To investigate the effect of Maslow’s hierarchy of needs on medication compliance, psychological status, and cardiac function in patients with acute myocardial infarction undergoing percutaneous coronary intervention (PCI). Methods: Eighty patients with acute myocardial infarction who underwent PCI at Huai’an Second People’s Hospital from June to December 2018 were randomly divided into control group and observation group according to random number table, 40 cases in each group. Patients in the control group were treated with routine perioperative nursing intervention, while patients in the observation group were given a combination of Maslow's hierarchy of needs on the basis of routine perioperative care. After 3 months of nursing intervention, the nursing satisfaction, mental state, medication compliance, complications and cardiac function of the two groups were compared. Results: 1) The nursing satisfaction of the observation group was 97.50%, which was significantly higher than that of the control group (80.00%). The difference was statistically significant (P<0.05); 2) the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of the observation group were significantly lower than those of the control group. The difference was statistically significant (P<0.05); 3) the medication compliance in the observation group was significantly better than that in the control group, the difference was statistically significant (P<0.05); 4) the incidence of postoperative complications, the number of angina attacks, and the average length of hospital stay were lower than those in the control group, and the difference was statistically significant (P<0.05); 5) the left ventricular end diastolic volume of the observation group was significantly lower than that of the control group (P<0.05). The left ventricular ejection fraction and the 6-minute walking test were significantly higher than those of the control group, and the difference was statistically significant (P<0.05). Conclusion: For patients with acute myocardial infarction undergoing PCI, the combination of Maslow’s hierarchy of needs with routine nursing care can effectively improve patient care satisfaction and medication compliance, promote cardiac function rehabilitation, and reduce complications. It has significant advantages in the nursing management of patients with acute myocardial infarction and is worthy of widespread clinical promotion.
Keywords：
acute myocardial infarction; percutaneous coronary intervention; Maslow’s hierarchy of needs; medication compliance; complications; cardiac function