Effect of structural psychological intervention on psychological status and stress level in patients with acute myocardial infarction

Objective To explore the effect of structural psychological intervention on psychological status and stress level in patients with acute myocardial infarction. Methods A total of 96 patients with acute myocardial infarction admitted to the emergency department of our hospital from March 2017 to January 2019 were selected as the research objects. According to the random number table method, they were divided into observation group and control group with 48 cases each. The control group was given routine emergency nursing, while the observation group was given structured psychological nursing intervention on the basis of the control group. According to the Self-rating Anxiety Scale (SAS) and self-rating depression scale (SDS), the psychological status of the two groups before and after nursing intervention was compared. The changes of stress indicators before and after nursing in the two groups were compared, including systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and epinephrine (E), and the nursing satisfaction of the two groups was counted. Results Before nursing intervention, there was no significant difference in mental state score and stress level between the two groups (all P>0.05); after nursing intervention, SAS and SDS scores of the observation group were lower than those of the control group (all P<0.05); after nursing intervention, the levels of SBP, DBP, HP and E of the observation group were significantly lower than those of the control group (all P<0.05); the nursing satisfaction of the observation group was 100.0%(48/48), which was far higher than 85.4% (41/48) of the control group (P<0.05). Conclusion Structural psychological intervention can significantly improve the negative emotions such as depression and anxiety in patients with acute myocardial infarction, effectively reduce the stress level of patients, improve the satisfaction of patients and their families, and promote the establishment of harmonious nurse-patient relationship, which is worthy of clinical application and promotion.