摘要
目的 探讨围术期心理弹性赋能干预应用于急性心肌梗死介入患者中对其心理状态的影响。方法 选取2024年6月-2026年2月本院行介入治疗的46例急性心肌梗死患者,随机分作两组,常规组23例行常规围术期护理,赋能组23例在常规组基础上予以围术期心理弹性赋能干预,对比两组心理弹性、心理状态、手术并发症。结果 赋能组护理后中文版心理弹性量表(CD-RISC)评分比常规组高(P<0.05);赋能组护理后抑郁-焦虑-压力自评量表(DASS-21)评分比常规组低(P<0.05);赋能组手术并发症发生率(4.35%)比常规组(26.09%)低(P<0.05)。结论 在介入治疗心肌梗死患者中,予以围术期心理弹性赋能干预可促进其心理弹性、心理状态有效改善,并减少手术并发症。
关键词: 围术期;心理弹性;赋能;急性心肌梗死;心理状态
Abstract
Objective To explore the impact of perioperative psychological resilience empowerment intervention on the psychological state of patients undergoing interventional therapy for acute myocardial infarction. Methods A total of 46 patients with acute myocardial infarction who underwent interventional therapy in our hospital from June 2024 to February 2026 were selected and randomly divided into two groups. The conventional group (23 cases) received standard perioperative care, while the empowerment group (23 cases) received additional perioperative psychological resilience empowerment intervention. The psychological resilience, psychological state, and surgical complications were compared between the two groups. Results After care, the Chinese version of the Psychological Resilience Scale (CD-RISC) score in the empowerment group was higher than that in the conventional group (P < 0.05). The Depression-Anxiety-Stress Self-Rating Scale (DASS-21) score in the empowerment group was lower than that in the conventional group (P < 0.05). The incidence of surgical complications in the empowerment group (4.35%) was lower than that in the conventional group (26.09%) (P < 0.05). Conclusion In patients with myocardial infarction undergoing interventional therapy, perioperative psychological resilience empowerment intervention can effectively improve their psychological resilience and state while reducing surgical complications.
Key words: Perioperative; Psychological resilience; Empowerment; Acute myocardial infarction; Mental state
参考文献 References
[1] 冯彬,高英,史超,等.基于急救护理质量构建急性心肌梗死患者急救流程护理方案及其急救效果初探[J].中国急救复苏与灾害医学杂志,2024,19(2):237-241.
[2] 黄燕临,林莉雯,钟菊芳.身心全面系统干预联合早期心脏康复护理在急性心肌梗死经皮冠状动脉介入治疗患者术后护理中的应用[J].山西医药杂志,2024,53(11): 862-865.
[3] 韦炎彬,姚宾涛,尹绪辉,等.心理护理对急性心肌梗死介入术后患者焦虑情绪的影响[J].国际精神病学杂志,2023, 50(1):186-188.
[4] 洪宝娟,李秀梅,魏子衿.辨证行为疗法联合赋能心理护理对早期胃癌患者ESD术后认知情绪调节及心理弹性的影响[J].中外医学研究,2025,23(21):153-156.
[5] 中华医学会心血管病学分会,中华心血管病杂志编辑委员会.急性ST段抬高型心肌梗死诊断和治疗指南(2019)[J].中华心血管病杂志,2019,47(10):766-783.
[6] 祖丽丽,袁杭.急性心肌梗死病人应对方式在心理弹性和自我感受负担间的中介作用[J].循证护理,2024,10(4): 723-727.
[7] 邱婷,张丽,姚成奎,等.简式抑郁-焦虑-压力量表的多元概化分析[J].中华行为医学与脑科学杂志,2023,32(1): 75-79.
[8] 陈红,曹李瑶,刘淑梅,等.基于MPNFS理论的护理干预对急性心肌梗死患者心功能,心理弹性的影响[J].中国急救复苏与灾害医学杂志,2026,21(1):106-111.
[9] 戴可可,闫海艳,张阳,等.基于PERMA模式的干预在急性心肌梗死患者中的应用[J].中华现代护理杂志,2026, 32(6):796-801.
[10] 秦小金,刘晶涛.Roy适应模式在急性ST段抬高型心肌梗死患者介入治疗后延续性护理中的应用效果[J].新乡医学院学报,2024,41(7):684-688.