Application of framework based high quality psychological nursing intervention in patients with unstable angina pectoris
框架式优质心理护理干预在不稳定型心绞痛患者中的应用

摘要

目的 深入细致的分析和探讨框架式优质心理护理干预对不稳定型心绞痛（UA）患者心理状态、临床症状及生活质量的影响，旨在为临床研究提供理论与实践依据。方法 设立2023年7月至2024年7月为研究期限，纳入60例UA 患者为研究对象，遵循“平行序贯”分组原则，采用数字表划分法实施小组划分，每组归入（n=30），分别命名为参照组与研究组，前者开展常规护理，后者在上述基础上，增加框架式优质心理干预，随后比较不同护理方案下的干预效果。比对数据包括焦虑自评量表（SAS）、抑郁自评量表（SDS）评分，心绞痛发作频率、持续时间、硝酸甘油使用量、西雅图心绞痛量表（SAQ）评分。结果 面对相同需求的患者，采取不同形式的护理干预策略，所得效果差异显著，研究组各项指标均显优参照组（P＜0.05）。结论 框架式优质心理护理作为一种人性化干预策略，通过构建标准化、结构化的心理干预框架，对患者心理问题进行系统评估、分层干预和动态管理，该模式不仅能有效改善UA患者的负性情绪，还可切实减少心绞痛发作频次，提升患者生活质量，值得在不稳定型心绞痛患者临床护理中推广应用，以帮助更多UA患者恢复健康。

Abstract

Objective To conduct a thorough and detailed analysis and exploration of the impact of framework based high-quality psychological nursing interventions on the psychological status, clinical symptoms, and quality of life of patients with unstable angina (UA), with the aim of providing theoretical and practical basis for clinical research.
Methods The study period was set from July 2023 to July 2024, and 60 patients with UA were included as the research subjects. Following the principle of "parallel sequential" grouping, the digital table division method was used to implement group division. Each group was divided into (n=30) groups and named as the reference group and the study group, respectively. The former received routine nursing care, while the latter received framework based high-quality psychological intervention on the above basis. The intervention effects under different nursing schemes were then compared. The comparison data includes the Self Rating Anxiety Scale (SAS), Self Rating Depression Scale (SDS) scores, frequency and duration of angina attacks, nitroglycerin use, and Seattle Angina Questionnaire (SAQ) scores.
Results Different forms of nursing intervention strategies were adopted for patients with the same needs, and the results showed significant differences. All indicators in the study group were significantly better than those in the reference group (P<0.05).
Conclusion   Framework based high-quality psychological nursing, as a humanized intervention strategy, can effectively improve the negative emotions of UA patients by constructing a standardized and structured psychological intervention framework, conducting systematic evaluation, hierarchical intervention, and dynamic management of patients' psychological problems. This model can also effectively reduce the frequency of angina attacks and improve patients' quality of life. It is worth promoting and applying in the clinical nursing of unstable angina patients to help more UA patients recover their health.