全程护理对心脏手术患者焦虑抑郁情绪的影响

Effect of whole-course nursing on anxiety and depression of patients undergoing cardiac surgery

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(4)
作者
作者单位

郑州大学第一附属医院心血管外科 ;

摘要
目的:探讨全程护理模式对心脏手术患者焦虑、抑郁情绪的改善效果。方法:研究资料均为本院于2016年4月至2018年4月期间收治的行心脏手术治疗患者,共106例随机分组,对照组和观察组分别开展常规护理服务、全程护理服务,各53例,评价两组焦虑、抑郁情绪改善效果,观察术中应激状况及护理后护理满意度,并进行比较。结果:术前1d,出院时观察组焦虑、抑郁情绪评分逐渐降低,且均显著低于同时间段对照组,P<0.05;术前两组患者心率、肾上腺激素、收缩压、舒张压等指标比较无明显差异,P>0.05;术中两组患者心率、肾上腺激素、收缩压、舒张压等指标均发生波动,其中观察组显著低于对照组,P<0.05;观察组护理满意度为96.23%,与对照组77.36%比较明显更高,P<0.05。结论:针对开展心脏手术患者实施全程护理干预利于有效调节其焦虑、抑郁情绪,维持良好的心理状态,利于稳定心率、血压,控制应激反应,护理服务获得患者高度认可,护理价值较高。
Abstract
Objective: To explore the effect of whole-course nursing mode on anxiety and depression of patients undergoing cardiac surgery. Methods: 106 patients with cardiac surgery treated in our hospital from April 2016 to April 2018 were randomly divided into two groups. The control group and the observation group carried out routine nursing service and whole-course nursing service respectively, 53 cases in each group. The improvement effects of anxiety and depression in the two groups were evaluated. The stress status during operation and nursing satisfaction after nursing were observed and compared. Results: On the first day before discharge, the anxiety and depression scores of the observation group decreased gradually, and were significantly lower than those of the control group at the same time, P < 0.05; there was no significant difference in heart rate, adrenaline, systolic and diastolic blood pressure between the two groups before operation, P > 0.05; heart rate, adrenaline, systolic and diastolic blood pressure fluctuated in both groups during operation. The nursing satisfaction of the observation group was 96.23%, which was significantly higher than that of the control group (77.36%, P < 0.05). CONCLUSION: The whole course nursing intervention for patients undergoing cardiac surgery is helpful to effectively regulate their anxiety and depression, maintain good psychological state, stabilize heart rate and blood pressure, control stress reaction, and obtain high recognition of patients with nursing service, which has high nursing value.
关键词
全程护理模式;心脏手术;焦虑情绪;抑郁情绪;应激状况
KeyWord
whole-course nursing mode; cardiac surgery; anxiety; depression; stress status
基金项目
页码 737-739
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朱倩如*. 全程护理对心脏手术患者焦虑抑郁情绪的影响 [J]. 国际精神病学杂志. 2019; 46; (4). 737 - 739.

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