Value of Psychosomatic Nursing in Rehabilitation of Cardiology Patients with Coronary Heart Disease Treated with Percutaneous Coronary Intervention

摘要

[Objectives]To explore the effect of psychosomatic nursing on the daily living ability and psychosomatic state rehabilitation of cardiology patients with coronary heart disease treated with percutaneous coronary intervention (PCI). [Methods] 512 patients with coronary heart disease treated with PCI in the Cardiology Department of Taihe Hospital,Hubei University of Medicine from August 2015 to August 2018were given psychosomatic holistic nursing. Before and after the intervention,the improvement of the patients’ daily living ability,psychosomatic status and social support was analyzed by using the Barthel index of activities of daily living (ADL) scale,self-rating scale of 90 symptoms (SCL-90),and social support rating scale (SSRS). [Results]Before nursing intervention,the proportion of patients with grade Ⅰ objective score (26.56%) was lower than that of patients with grade Ⅰ subjective score (48.63%),and the difference was statistically significant (P 0.05). After nursing intervention,the SCL-90 total score,number of positive items,average score of positive items,physical factor,forcing factor,depression factor,anxiety factor,interpersonal factor and hostile factor score significantly dropped,and the difference was statistically significant (P < 0.05);the SSRS total score,objective support,subjective support and support utilization score significantly rose,and the difference was also statistically significant (P < 0.05). [Conclusions]Psychosomatic nursing for cardiology patients with coronary heart disease treated with PCI can effectively improve the patients’ ADL score,reduce the SCL-90 score,improve their social support,be beneficial to patients’ recovery,and improve their prognosis.