摘要
目的对比心脏介入治疗前后结患者焦虑情绪的改变,探讨围手术期护理干预对减轻患者焦虑情绪,预防术后并发症疗效。方法选择我院心脏介入(PCI)合并焦虑患者118例,随机分为干预组59例和对照组59例,对照组采用常规护理方式,观察组在常规护理的基础上给予全面的心理护理干预。并评估两组手术前后焦虑(SAS)评分以及术后并发症的情况。结果心脏介入患者合并焦虑的比例为44.2%,其中焦虑评分与学历、吸烟史、冠心病家族史成正相关(P<0.05),与年龄成负相关(P<0.01);观察组术后梗死率、心绞痛发作频率、心律失常发生率也明显减少(P<0.01);观察组手术前后SAS评分明显低于对照组,差异具有统计学意义(P<0.05或0.001)。结论围手术期开展全面的护理干预可以缓解PCI手术前后患者焦虑情绪,减轻术后并发症,值得临床推广应用。
Objective To investigate the nursing intervention approach on anxiety occurred in patents receiving cardiac intervention therapy in perioperative period. Methods The study included 118 patients with cardiac intervention （PCI） and combined with anxiety, were randomly divided into intervention group（59 cases） and the control group（59 cases） .Before and after receiving PCI, usual care was carried out on control group, and additional mental nursing was underwent on the intervention group. After that, the score of self-relating anxiety scale （SAS） were evaluated, compared and analyzed. Results The proportion of patients with cardiac intervention anxiety was 44.2 %, including anxiety score and education, smoking history, family history of coronary heart disease was positively correlated （P 〈0.05）, negatively correlated with age （P〈0.01）. And after mental nursing, the scores of SAS, rate of postoperative infarction, angina frequency, the incidence of arrhythmia were obviously improved than usual group.（P〈0.05 or 0.001）.Moreover, SAS scores of intervention group measured in the 4-week after PCI were statistically significantly higher than the control group. Conclusion PCI is a kind of stress factors which could add the psychological burden of patients, and with usual care and mental nursing, the anxiety levels improve during the course of nursing.
作者
唐少梅
李洁源
何彩勤
陈渺
TANG Shao-mei LI Jie-yuan HE Cai-qin et al(Deparment of Vasculocardiology, First People＇s Hospital of Foshan, Foshan 528000, Guangdong Province, Chin)
出处
《罕少疾病杂志》
2016年第5期20-22,25,共4页
Journal of Rare and Uncommon Diseases
