探讨优质护理在冠心病监护病房(CCU)急性心肌梗死患者中的临床价值。

选取常州市武进人民医院心内科2016年CCU监护病房收治的81例急性心肌梗死患者，其中男性53例，女性28例；年龄42～87岁，平均(66.69±10.45)岁。随机分为对照组(41例)和观察组(40例)。对照组行常规的护理措施，包括心电血压监护、氧气吸入、休息与活动指导、饮食护理、病情观察、健康教育。观察组在常规护理基础上增加优质护理措施，包括心理护理、基础护理、责任制包干护理、专科用药护理。比较两组患者焦虑与抑郁情绪的改善情况及采用我院自制的满意度调查表进行患者满意度调查。

对照组患者焦虑评分(30.2±3.2)、抑郁评分(28±6),观察组患者焦虑评分(20.4±2.7)、抑郁评分(20±5)均明显低于对照组，差异有统计学意义(P均<0.05)。对照组患者护理满意度为80.5%,观察组患者的护理满意度为97.5%, (P<0.05)。

优质护理措施可明显改善急性心肌梗死患者的焦虑与抑郁的情绪，提高护理工作的满意度。

To explore the value of high-quality nursing on patients with acute myocardial infarction in Cardiac Care Unit (CCU).

A total of 81 patients with acute myocardial infarction were collected from CCU of the cardiology department of Wujin People’s hospital in 2016, with 53 males and 28 females. The average age was 66.69±10.45 years ranging from 42 to 87 years. Patients were randomly divided into two groups including the control group (41 cases) and the observation group (40 cases). The patients in the control group were conducted with conventional nursing including ECT monitoring, oxygen inhalation, rest and activity guidance, diet care, disease observation and health education. The patients in the observation group were conducted with high-quality nursing including additional mental nursing, basic nursing, responsibility nursing and special medication nursing compared with ordinary nursing. Nursing satisfaction and the improvement of anxiety were compared in the two groups.

The scores of anxiety and depression in the obeservation group were statistically significantly lower than that in the control group [(30.2±3.2)vs(20.4±2.7); (28±6)vs (20±5); P<0.05]. The percents of nursing satisfaction were 97.5% (obeservation group)and 80.5% (control group), respectively.There was statistically significant difference between the two groups (P<0.05).

Compared with conventional nursing, High-quality nursing for patients with acute myocardial infarction can significantly alleviate the anxiety of patients, reduce the incidence of complicationsand improve the nursing satisfaction.