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.
【关键词】介入围手术期;焦虑;护理干预
【中图分类号】R248.2
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2016.05.009
前言
冠心病又称冠状动脉粥样硬化性心脏病,是最常 见的心血管病之一。在中国,冠心病发病率有逐年上 升的趋势[1],经皮冠状动脉介入治疗(PCI),简称冠 脉介入术由于具有创伤小、安全、成功率高、病人容 易接受等优点已成为冠状动脉疾病诊断和治疗的重要 手段[2]。但是,PCI是一项侵入性治疗技术,具有风险 高、费用贵、并有术后并发症的存在,因而患者在术 前及术后不可避免地会出现焦虑、抑郁、烦躁等负性 情绪。近年来研究表明,心脏介入手术前后患者均处 于一定的焦虑状态,而焦虑等情绪障碍可能影响手术的顺利进行甚至容易导致患者心血管事件发生[3-4]。 因此,在围手术期对患者进行充分完善的护理干预, 对消除焦虑心理保障手术顺利进行和预防术后并发症 有着极为重要的意义。本研究对59例PCI合并焦虑患 者开展围手术期护理干预,并与对照组常规护理的59 例进行对比观察,现报告如下。
罕少疾病杂志
第23卷, 第 6 期
2019年11月
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