Keywords: coronary heart disease psychological
Coronary heart disease is a common disease of the elderly physical and mental illnesses.
According to the the modern large number of studies have shown that psychological and social factors can induce or aggravate coronary heart disease, behavioral stress can trigger a variety of arrhythmias and even sudden death.
The psychological state of the patients with coronary heart disease directly affect the progression of the disease, especially in the incidence of myocardial infarction, when the onset of chest pain to a sense of impending doom, and there are stress, anxiety, depression and depressed mood, thereby increasing the disease, so patients with coronary heart psychological care plays an important role in disease recovery process.
1 anxiety is more common in patients with initial onset.
There are more than 90% of coronary heart disease patients with varying degrees of anxiety, with varying degrees of anxiety symptoms such as insomnia, more than a dream fitfully, extreme fear, restlessness, irritability, low self-esteem, depression, nervousness, etc., which appear moderate more than 90% anxiety symptoms.
Anxiety causes more acute because of the onset of symptoms and the lack of mental preparation; understand the lack of knowledge of the disease; pain caused by the sense of impending doom, and unaccompanied or economic pressure, the patient produces intense stress, fear and anxiety .
The medical staff should be active and enthusiastic to greet them, patiently and carefully introduced ward environment, rules and regulations, and the doctor in charge, the responsibility of nurses.
Treatment should take effective measures to control the disease as soon as possible to relieve symptoms, patients with a sense of security.
Good protective treatment, disease control, its supportive psychotherapy, so that patients understand the disease, the course of treatment and increase the sense of security, to eliminate negative emotions, and fully mobilize the initiative and guide patients learn to relax, reduce anxiety.
The two depression passive more common in recurrent myocardial infarction, heart failure repeated episodes in patients with unstable angina.
These patients often repeated episodes due to disease, drug efficacy, to lose confidence in the recovery of the disease, always feel discomfort, depression, pessimistic, with a worried frown, human indifference.
Interpretive psychotherapy can be used to comfort to enlighten to encourage patients to help them recognize the incentive of recurrence, learn preventive measures to slow disease progression, and enhance the confidence to overcome the disease.
Explained, the speech should be easy to understand and use less medical terminology, a slower rate of speech, intonation soothing calm.
Some problems are difficult to understand, should give some easy to understand examples.
With the support of family members, and should strive to spend more time with patients, making them feel the warmth of the family given.
3 stability and positive Such prevalent in the condition lighter relapsed patients with certain knowledge of self-protection.
These patients mood is relatively stable, and to understand the disease, got some commonly used treatment, to actively cooperate with the treatment, but I hope there is a better way to combat the disease, in order to restore normal life and work.
Psychotherapy-based guidance, and to introduce them to advanced, simple, effective self-treatment methods, and explain the precautions to maintain the stability and positive state of mind.
Sensitive, suspicious fear of these patients with coronary heart disease, convinced that he was sick and very serious, and sometimes even put the book on the symptoms imagine their own symptoms, a little discomfort is sicker, had headache, toothache, shoulder pain, right side of the chest pain as angina pectoris, and very observe families and health care professionals suspect for him to conceal the severity of the disease, or to worry about the medical staff if they can give a careful treatment of the attitude of their disease, therefore bedridden all day, dependent, leading to unnecessary psychological burden.
Care should be taken to supportive psychotherapy, patiently explained and comfort, with particular attention to be affable, answered every question so that patients have a correct understanding of the disease, to address the concern with the treatment.
The sexually suggestive therapy, including psychological support necessary to give the induction speech, with drugs, strengthen implied, allowing patients to achieve self-suggestion, to improve the mental state to eliminate sensitive, suspicious psychological.
The 5 blind optimism of these in patients with coronary heart disease and should pay attention to the problem of a lack of understanding, lack of knowledge of the progression of the disease, although awareness was nonchalant, and can not be adjusted from the diet, rest, thus affecting the therapeutic effect.
Medical staff should focus on health education, and patiently explain the knowledge of coronary heart disease, a brief statement, a clear the vocabulary and decisive conclusion, strengthening of coronary heart disease symptoms, prognosis patients, predisposing factors to understand, to realize that even in recovery period or rehabilitation period, work and activities also need to do what.
With the transformation of the medical model, psychological care has become an important part of modern nursing, also the maintenance of patients with physical and mental health, the necessary conditions to obtain the best therapeutic effect.
Comprehensive and timely psychological care of patients with coronary heart disease, help patients better understand the disease, with a positive attitude, active self-care, and control the development of the disease, and to promote the rehabilitation of the disease, and physical and psychological recovery and improve the quality of life.
Patients with different psychological characteristics are not isolated to appear, often coexist and other abnormal psychology, sometimes transformed into each other throughout the whole process of the disease, often brought great impact to the treatment.
Therefore, nurses should be based on different periods, different condition of the patient, physical fitness, family status, mental state, as well as concerns and worries and so on, to develop targeted measures of psychological care, psychological counseling, in order to achieve the maximum effect of nursing.