心脏瓣膜置换术后患者心理因素分析及护理干预效果观察

After heart valve replacement patients psychological factors and nursing methods and its effect is observed

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(2)
作者
作者单位

郑州市第七人民医院外科 ;

摘要
摘要:目的:探究心脏瓣膜置换术后患者心理因素变化、护理干预及其效果。方法:选取2014年5月~2017年5月在我院接受瓣膜置换手术的352例患者,并给予随机分组,对照组176例,给予常规护理;干预组176例,给予术后心理疏导、康复护理、病房护理等术后综合护理,对两组患者心理因素变化情况、护理前后患者的SCL-90评分情况以及护理满意度进行综合评价。结果:心脏瓣膜置换术后患者多伴随焦虑、恐惧、主观感觉异常等负性心理,其中以焦虑、孤独最为常见;经过不同方式的护理,干预组患者的躯体化症状、强迫症、人际敏感等SCL-90相关指标显著优于对照组(P<0.05),有统计学意义;且干预组护理后有169例患者表示满意,占96.0%,显著高于对照组的72.2%,两组差异较大(P<0.05),统计学有意义。结论:心脏瓣膜置换术后患者多存在焦虑、抑郁、逆反等负性心理,对患者给予心理疏导、康复训练等术后综合护理干预,能够有效改善患者的精神心理状态,提升患者护理满意度,值得临床推广应用。
Abstract
Abstract: objective: to explore the changes after heart valve replacement patients psychological factors and nursing methods and their effects.Methods: in May 2014 to May 2017 in our hospital 352 cases of patients undergoing valve replacement surgery, and to give a randomized, control group 176 cases, given routine care;Intervention group 176 examples, give psychological counseling, rehabilitation nursing, postoperative hospital nursing and postoperative comprehensive care, changes of two groups of patients psychological factors and nursing of patients after SCL - 90 score and comprehensive evaluation of nursing satisfaction.Results: after heart valve replacement patients with anxiety, fear, and subjective feeling more abnormal negative mentality, such as with anxiety, loneliness is the most common;Through different ways of nursing, intervention group patients with symptoms of somatization, obsession, interpersonal sensitivity and SCL - 90 related index significantly better than that of control group (P < 0.05), there is statistical significance;And after the nursing intervention group 169 patients were satisfied with, accounted for 96.0%, significantly higher than that of control group 72.2%, larger difference between the two groups (P < 0.05), statistically significant.Conclusion: after heart valve replacement patients have negative mentality, such as anxiety, depression, negative, give psychological counseling to patients, postoperative rehabilitation training and so on comprehensive nursing intervention can effectively improve the patients mental state, improve patient care satisfaction, worthy of clinical popularization and application.
关键词
关键词:心脏瓣膜置换术;心理因素;护理方法;护理满意度
KeyWord
Key words: heart valve replacement;Psychological factors;Nursing methods;Nursing satisfaction
基金项目
页码 374-376
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王秋红*. 心脏瓣膜置换术后患者心理因素分析及护理干预效果观察 [J]. 国际精神病学杂志. 2019; 46; (2). 374 - 376.

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