探讨前瞻性护理干预在急性ST段抬高型心肌梗死患者保守治疗中的应用效果。

将82例急性ST段抬高型心肌梗死患者依据建档顺序分为对照组和研究组，各41例。对照组接受常规护理，研究组于对照组基础上接受前瞻性护理干预。统计两组并发症发生率，干预前后抑郁(HAMD)、焦虑(HAMA)、生活质量(QOL)分值及护理工作满意度。

研究组并发症发生率(14.63%)低于对照组(34.15%)(P<0.05)；干预后两组HAMA及HAMD分值较干预前降低、QOL分值较干预前增高，且研究组HAMA及HAMD分值低于对照组，QOL分值高于对照组(P<0.05)；护理工作满意度比较，研究组(95.12%)较对照组高(78.05%)(P<0.05)。

采取前瞻性护理干预对心内科重症监护室急性ST段抬高型心肌梗死患者实施干预，可有效缓解其负性情绪，降低并发症发生率，改善患者生活质量，提高护理工作满意度。

To explore the application effect of prospective nursing intervention in acute ST-segment elevation myocardial infarction.

Eighty-two patients with acute ST-segment elevation myocardial infarction were divided into control group and research group according to the order of archiving, 41 cases in each group. The control group received routine nursing care, while the research group received prospective nursing intervention on the basis of the control group. The incidence of complications, scores of depression (HAMD), anxiety (HAMA), quality of life (QOL) and nursing satisfaction before and after intervention were recorded.

The incidence of complications in the study group (14.63%) was lower than that in the control group (34.15%) (P<0.05); the scores of HAMA and HAMD in the study group were lower than those before intervention, and the scores of QOL in the study group were higher than those in the control group (P<0.05). The nursing satisfaction in the study group (95.12%) was higher than that in the control group (78.05%) (P<0.05).

Prospective nursing intervention for patients with acute ST-segment elevation myocardial infarction in intensive care unit of cardiology can effectively alleviate their negative emotions, reduce the incidence of complications, improve the quality of life of patients, and improve the nursing satisfaction.