摘要
目的:探讨认知行为对冠状动脉旁路移植术(CABG)患者焦虑、抑郁状态、血流动力学和心脏功能恢复的影响。方法:将冠心病并行CABG的患者66例随机分为对照组30例和干预组36例,对照组给予常规护理,干预组在常规护理的基础上给予认知行为干预,包括认知疗法和行为疗法;观察两组患者干预前后的心理状态、血流动力学检测结果,导管留置时间、监护时间、住院时间的变化。结果:干预后干预组SAS、SDS评分均优于对照组(P<0.05),术前12 h与术后72 h干预组血流动力学参数HR、SBP、CO、SVR均优于对照组(P<0.05),术后气管插管时间、监护时间、住院时间均少于对照组(P<0.05);干预组饮食运动规律性、服药依从性、患者满意度明显好于对照组(P<0.05)。结论:认知行为干预能改善CABG患者围术期心理状况,有效降低手术患者因应激而引起的反射性心率、血压升高,降低焦虑、抑郁评分,同时能够稳定围术期血流动力学,增加术后心排血量,促进术后康复,提高患者生活质量,值得在临床推广应用。
Objective：To discuss the influence of cognitive behavior on anxiety,depression,hemodynamics and cardiac function recovery in patients with coronary artery bypass grafting（ CABG）. Methods：66 patients undergoing CABG were randomly divided into the control group（n=30）and the intervention group（n=36）. The routine nursing care and cognitive behavioral intervention were respectively given to the patients in the control and intervention groups. The mental state,hemodynamic test results,indwelling time of catheter,the time of monitoring and hospitalization were observed in the two groups before and after intervention. Results：After the intervention,the SAS and SDS scores were superior in the intervention group to the control group（P〈0. 05）;the hemodynamic parameters of HR,SBP,CO and SVR were better in the intervention group than the control group 12 hours before operation and 72 hours after operation（P〈0. 05）;the postop-erative tracheal intubation time,length of stay in ICU and hospitalization time was shorter in the intervention group than the control group （ P〈0. 05）;the regularity of diet and exercise,medication compliance and satisfaction of the patients were significantly better in the inter-vention group than the control group（P〈0. 05）. Conclusion：The cognitive behavioral intervention can improve perioperative psychological status of patients with CABG,effectively reduce the reflective heart rate and elevation of blood pressure resulting from stress of the patients;it can also reduce the scores of anxiety and depression and stabilize hemodynamics and increase postoperative cardiac output so as to pro-mote postoperative recovery and improve the quality of life of the patients.
出处
《齐鲁护理杂志》
2015年第13期32-34,共3页
Journal of Qilu Nursing
