姜闪闪　　严琴　　邹莺　　强亚萍

[关键词] 针对性护理模式;冠心病心绞痛;心率;血压;心理状态

[中图分类号] R47          [文献标识码] B          [文章编号] 1673-9701（2021）19-0175-04

Analysis of the effect of targeted nursing mode on the heart rate，blood pressure，and psychological state of patients with coronary heart disease and angina pectoris

JIANG Shanshan   YAN Qin   ZOU Ying   QIANG Yaping

Department of Cardiovascular Medicine，General Hospital of Eastern Theater of the People's Liberation Army，Nanjing 210000，China

[Abstract] Objective To explore the application effect of targeted nursing mode in the clinical treatment of patients with coronary heart disease and angina pectoris，and evaluate the changes in the patients' heart rate， blood pressure，and mental state. Methods A total of 74 patients with coronary heart disease and angina pectoris admitted to the Department of Cardiology in the General Hospital of Eastern Theater of the People's Liberation Army from February 2019 to February 2020 were selected as the research objects.The patients were divided into the observation group （37 cases） and the control group （37 cases） by random number table method.The observation group was treated with targeted nursing mode.The control group was treated with routine care.The nursing effect of the two groups was compared. Results Compared with the control group，the observation group patients' heart rate （HR） level [（76.17±4.82） beats/min vs. （80.62±3.94） beats/min]，systolic blood pressure （SBP） level [（134.42±10.25） mmHg vs. （143.57±11.94）mmHg]，diastolic blood pressure （DBP） level [（88.92±7.63）mmHg vs. （93.71±5.09）mmHg]， frequency of angina attacks [（0.52±0.13） times/week vs. （1.47±0.31） times/week] and the Anxiety Self-Rating Scale （SAS） score [（38.14±4.37） points vs. （44.73±5.05） points] after nursing were relatively lower （P<0.05）， compared with the control group and patient satisfaction with care of the observation group was relatively higher （P<0.05）. Conclusion During the recovery period of patients with coronary heart disease and angina pectoris，the application of targeted nursing mode can effectively correct the patient's abnormal heart rate and blood pressure，while improving their mental state，reducing the onset of symptoms，and improving the prognosis of patients.

[Key words] Targeted nursing model;Coronary heart disease angina pectoris;Heart rate;Blood pressure;Mental state

心絞痛是冠心病患者的常见症状表现，冠状动脉狭窄、痉挛引起的心肌缺血是导致心绞痛症状发作的主要原因。在过度疲累、剧烈运动、情绪激动等情况下，症状发作的风险较高。症状发作时，患者会出现急剧的胸痛和胸部症状表现[1-2]。随着症状发作频率的增加以及症状持续时间的延长，患者的心功能受损程度也会明显加剧。冠心病心绞痛患者的治疗恢复期间，主要通过药物治疗方法，达到缓解症状及减少症状发作的效果[3]。维持机体心率、血压的正常与稳定，保持良好的心理状态，可以有效降低心绞痛的发作风险，更好的保护患者的心功能，应该在药物治疗的基础上，根据患者的个体情况，实施针对性的护理干预。本研究选取中国人民解放军东部战区总医院心血管内科2019年2月至2020年2月期间收治的74例冠心病心绞痛患者作为研究对象，探讨综合护理对冠心病心绞痛患者心率血压及心理状态的影响，现报道如下。