摘要
目的分析心胸外科手术后患者产生精神障碍的原因及护理干预方法。方法在2018年6月至2020年6月我院收治的心胸外科手术患者中,随机抽取出86例为研究对象,通过抽签的方法将其分为对照组和研究组,每组43例。在两组患者围手术期,予以对照组常规护理,研究组在上述基础上在患者术前、术中以及术后予以其针对性护理干预,比较其护理后的精神障碍发生率,并且对其发生原因进行分析。结果对照组术后发生焦虑的例数共计2例,发生率为4.65%,研究组术后发生焦虑的例数共计1例,发生率为2.33%;对照组术后发生抑郁的例数共计3例,发生率为6.98%,研究组术后发生焦虑的例数共计1例,发生率为2.33%;对照组术后发生精神分裂的例数共计1例,发生率为2.33%,研究组术后发生精神分裂的例数共计0例,发生率为0;对照组术后发生谵妄的例数共计2例,发生率为4.65%,研究组术后发生精神分裂的例数共计0例,发生率为0;对照组术后发生神经衰弱的例数共计2例,发生率为4.65%,研究组术后发生精神分裂的例数共计0例,发生率为0。两组患者术后精神障碍总发生率比较,研究组低于对照组,差异有统计学意义(P<0.05)。结论对于心胸外科手术后患者,其术后容易受较多因素影响导致发生精神障碍,对其术前、术中以及术后予以针对性护理干预可以进一步降低其精神障碍发生率。
Objective To analyze the causes of mental disorder after cardiothoracic surgery and nursing intervention. Methods From June 2018 to June 2020, 86 patients with cardiothoracic surgery were randomly selected and divided into control group and study group by drawing lots, 43 patients in each group, the patients in the two groups were given routine nursing care during the perioperative period, and the patients in the study group were given targeted nursing intervention before, during and after the operation, and the incidence of mental disorders after the nursing was compared, and the cause of its occurrence was analyzed. Results There were 2 cases of anxiety in the control group(4.65%), 1 case of anxiety in the study group(2.33%);and 3 cases of depression in the control group(6.98%), in the study group, the incidence of depression was 2.33%(1 case);in the control group, the incidence of schizophrenia was 2.33%(1 case), and in the study group was 0;the incidence of postoperative delirium was 4.65% in the control group, the study group was 0;in the control group, there were 2 cases of postoperative neurasthenia, with an incidence of 4.65%. In the study group, there were 0 case of postoperative neurasthenia, with an incidence was 0. The total incidence of postoperative mental disorders in the study group was lower than that in the control group, and the difference was statistically significant(P<0.05). Conclusion For the patients after cardiothoracic surgery, they are easy to be influenced by many factors to lead to mental disorder after operation. The specific nursing intervention before, during and after operation can further reduce the incidence of mental disorder.
作者
刘宏梅
LIU Hongmei(The Fourth Hospital of Chaoyang,Chaoyang 122000,China)
出处
《中国医药指南》
2021年第5期202-203,共2页
Guide of China Medicine
关键词
心胸外科
手术患者
精神障碍
护理干预
原因
Cardiothoracic surgery
Surgical patients
Mental disorders
Nursing intervention
Causes
