观察睡眠质量干预在急性心肌梗死患者中的临床效果

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关键词：睡眠质量;急性心肌梗死;临床效果;心血管康复;焦虑;抑郁;生命质量;治疗依从性

Observation of the Clinical Efects of Sleep Quality Intervention in Patients with Acute Myocardial Infarctior

ZHANG Yingzhou

（Emergency Department，Yanzhou District People's Hospital，Jining 2721OO，China）

AbstractObjective：Toobserve theclinicalefectsofsleequalityinterventioninpatientswithacutemyocardial infarction.Methods：Atotalof90patientswithacutemyocardialinfarctionadmitedtotheEmergencyDepartmentofYanzhou People'sHospitalfrom Januaryto December 2O24wereselectedandrandomlydividedintoacontrol groupandanobservation groupusingarandom number table method，with 45patients ineach group.Thecontrolgroupreceivedconventional treatment， whiletheobservationgroupreceivedsystematicsleepqualityinterventioninadditiontocoventional treatment，includingevironmentaloptimization，psychologicalcounseling，spscheduleudance，andrelaxationtraning.ThePitsburghSleepQualityIndex （PSQI）was used tocompare thediferences insleepqualitybetweenthetwogroups，andthe Hamilton Anxiety Scale（HAMA） andHamiltonDepresion Scale（HMD）wereusedtoevaluate theimprovementinanxietyanddepresionbeforeandafterintervention.The incidenceof cardiovascularadverse eventsandnursingsatisfaction werealsocomparedbetween the two groups.Results：After intervention，PSQI，HAMA，and HAMDscoresof both groups decreased，with theobservationgroupshowing significantly lower scores than the control group，showing statistically significant differences（ P<0.05）. The incidence of cardiovascularadverseeventswassignificantlylowerintheobservationgroupthaninthecontrolgroup，whilenursingsatisfaction was significantly higher（both P<0.05 ）. Conclusion： Systematic sleep quality intervention significantly improves sleep status and mentalhealthinpatientswithacutemyocardialinfarction，educestheincidenceofcomplications，andholdsimportantclinical promotion value.

KeywordsSleepquality；Acute myocardial infarction；Clinicaloutcomes；Cardiovascularrehabilitation；Anxiety；Depreion; Quality of life；Treatment adherence

中图分类号：R542.2;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.08.001

急性心肌梗死（AcuteMyocardialInfarction，AMI）是冠心病中极为严重的临床类型。（剩余3841字）