The effect of cardiac rehabilitation nursing on the psychological status of elderly patients with heart failure and acute myocardial infarction
心脏康复护理对老年性心衰患者及急性心肌梗死患者心理状态的影响

摘要

目的 分析在老年性心衰患者、急性心肌梗死患者中给予心脏康复护理对其心理状态的影响。方法选取老年性心衰、急性心肌梗死患者共70例为研究对象，将分成两组，观察组与对照组，前者给予心脏康复护理，后者则给予常规护理干预，对比两组护理效果。结果 治疗前，两组患者的心理状态无明显变化，治疗后，观察组的SAS和SDS评分均低于对照组，差异具有统计学意义（P＜0.05）。观察组的LVEF指标高于对照组，而LVESD和LVEDD指标均低于对照组，（P＜0.05）。结论 心脏康复护理通过康复训练和心理支持，康复护理帮助患者减轻焦虑、抑郁和恐惧等负面情绪，提升自信和生活质量，同时促进心理的积极变化，对患者的心理状态有显著影响。

Abstract

Objective: To analyze the impact of cardiac rehabilitation care on the psychological status of elderly patients with heart failure and acute myocardial infarction. Method: A total of 70 patients with heart failure and acute myocardial infarction were selected as the research subjects and divided into two groups: the observation group and the control group. The former received cardiac rehabilitation care, while the latter received routine nursing intervention. The nursing effects of the two groups were compared. Result: Before treatment, there was no significant change in the psychological status of the two groups of patients. After treatment, the SAS and SDS scores of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05). The LVEF indicators of the observation group were higher than those of the control group, while the LVESD and LVEDD indicators were lower than those of the control group (P<0.05).
Conclusion  : Through rehabilitation training and psychological support, cardiac rehabilitation nursing helps patients reduce negative emotions such as anxiety, depression, and fear, improve confidence and quality of life, and promote positive psychological changes, which has a significant impact on the patient's psychological state.