【摘要】 目的 通过对心肌梗死溶栓治疗后患者实施心脏康复护理干预措施，来观察该护理干预措施对患者心理状态所产生的影响。方法 选取本院在2017年1月～2019年12月期间所治疗的80例心肌梗死溶栓治疗后患者，并且根据患者入院治疗顺序的奇偶数将其分为对照组(n=40，实施常规护理干预措施)与观察组(n=40，在前者基础上增加心脏康复护理干预措施)；对比两组症状自评量表(SCL-90)评分与生活质量评分，采用 t 检验；对比两组心血管不良事件发生率，采用 x~2 检验。结果 ①观察组患者SCL-90相关指标分数均显著低于对照组患者，组间对比存在统计学差异(P<0.05)；②观察组患者生活质量评分显著优于对照组患者，组间对比差异存在统计学意义(P<0.05)；③观察组患者心血管不良事件总发生率(7.50%)显著低于对照组(22.50%)，差异存在统计学意义(P<0.05)；④观察组满意度情况(95.00%)显著高于对照组(70.00%)，差异存在统计学意义(P<0.05)。结论 通过对心肌梗死溶栓治疗后的患者实施心脏康复护理干预措施，可有效改善患者的心理情绪，帮助加速患者心功能恢复状态，减少心血管不良事件发生率，提高患者生活质量水平，有利于提升患者预后，效果显著。更多还原

【Abstract】 Objective To observe the effect of this kind of nursing intervention on the mental state of patients by implementing cardiac rehabilitation nursing interventions on patients after thrombolytic treatment of myocardial infarction.Methods Select 80 patients with myocardial infarction after thrombolytic therapy treated in our hospital from January 2017 to December 2019,and divide them into a control group according to the odd and even number of the patients’ admission treatment sequence (n=40,routine care is performed intervention measures) and observation group (n=40,add cardiac rehabilitation nursing intervention measures on the basis of the former);the symptom check list 90 (SCL-90) scores and quality of life scores were compared between the two groups using t test;the incidence of adverse cardiovascular events between the two groups was compared using x~2 test.Results ① The scores of symptom check list 90 (SCL-90) related indicators in the observation group were far lower than those in the control group,and there were statistical differences between the groups (P<0.05);② the quality of life of the observation group was improved in all aspects the scores of the patients in the control group were significantly better than those in the control group,and the difference between the groups was statistically significant (P<0.05);③the total incidence of cardiovascular adverse events in the observation group (7.50%) was significantly lower than that in the control group (22.50%),and the difference was statistically significant (P<0.05);④ the satisfaction degree of the observation group (95.00%) was significantly higher than that of the control group (70.00%),and the difference was statistically significant (P<0.05).Conclusion By implementing cardiac rehabilitation nursing interventions for patients after myocardial infarction thrombolytic therapy,it can effectively improve the patient’s psychological mood,help accelerate the recovery of the patient’s heart function,reduce the incidence of cardiovascular adverse events,and improve the quality of life of patients.It is beneficial to improve the prognosis of patients,and the effect is significant.更多还原