内科

目的了解急性心肌梗死（AMI）主动脉球囊反搏患者焦虑状况及全球急性冠状动脉事件注册（GRACE）危险评分，为临床护理提供干预策略。方法选取在我科住院的49例急性心肌梗死主动脉行主动脉球囊反搏治疗的患者，采用汉密尔顿焦虑量表（HAMA）、一般资料调查表、GRACE进行评价。结果焦虑状态患者44例（89.8%）；女性焦虑症总体发生率高于男性。重度焦虑女性患者中有2例（20%），男性患者中有13例（33.3%）；49例患者GRACE危险评分在101～247分，合并焦虑症状患者GRACE危险评分随HAMA评分的增高而升高。结论性别、年龄、限制卧床、既往生活方式、急性冠状动脉事件对AMI主动脉球囊反搏患者的心理有显著的影响。

ObjectiveTo explore the influence factors and the status of anxiety in patients with acute myocardial infarction after intra-aortic balloon pump counterpulsation, and provide intervention strategies for clinical nursing. Methods49 patients with acute myocardial infarction who underwent intra-aortic balloon pump counterpulsation in our department were selected, Hamilton anxiety scale (HAMA), general data questionnaire and global registered acute coronary events (GRACE) risk score were used to evaluate the status of anxiety and acute coronary events. Results44 patients with anxiety(89.8%), the overall incidence of anxiety in female was higher than that of men,but among female patients there were 2 patients were severe anxiety(20.0%), while 13 cases in men(33.3%); The range of GRACE risk score in 49 patients was 101～247, and with increasing scores of HAMA, GRACE risk score was increased. ConclusionsGender, age, restrictions on bed,lifestyle,acute coronary events have a significant impact in psychology in patients with AMI after IABP.

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