Negative psychological state analysis and nursing of young and middle aged families of acute myocardial infarction patient

Abstract

Objective To explore the young and middle-aged families psychological status of patients with acute myocardial infarction. Methods A total of 120 families of patients with acute myocardial infarction (AMI) who admitted in our hospital from 2011 to 2013, and the families were divided into experimental group and control group. All patients of two groups were used the self-evaluation of anxiety scale (SAS), depression self rating scale (SDS) questionnaire after different interventions in two groups. We analyzed the families′ anxiety and depression influencing factors and compared the SAS, SDS, HAMS and HAMD scores in two groups. Results Within group comparison: in both groups, each index of the third day of admission were significantly lower than those on admission day (P 0.05); but the difference had statistical significance at third days and seventh days in each index value of two groups (P<0.05). Each index of third days and seventh days in experimental group were significantly lower than those in control group (P<0.05). Factors that cause anxiety in patients′ families included concerning about the health of patients, family economic difficulties, families′ work affected, unbearable physical strength and energy, to understand patient′s condition, treatment and prognosis, eager to know disease-associated knowledge, first aid knowledge under emergency situation, traffic inconvenience and so on. Conclusions The psychological nursing should be paid attention on patients′ relatives by four-dimensional innovation service model to guide nursing service, so as to reduce medical dispute, indirectly encourage patients and promote patients recovery early. Key words: Myocardial infarction; Young and middle ages; Patients′ families; Four dimensional innovation model; Negative psychology