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时间:2020-04-20
《人文关怀在冠状动脉介入治疗围术期护理中的应用.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·44·解放军护理杂志2013年3月,30(6)专科护理人文关怀在冠状动脉介入治疗围术期护理中的应用刘丹,刘文杰,贺春梅(哈尔滨医科大学附属第二医院心内科导管室,黑龙江哈尔滨150086)【摘要】目的探讨人文关怀在冠状动脉介入治疗围术期护理中的应用。方法2011年1月至2O12年l2月,按住院先后将于哈尔滨医科大学附属第二医院行冠状动脉介入治疗的400例患者分为观察组和对照组各200例,观察组患者采用人文关怀护理,对照组患者采用传统护理方法。应用Zung焦虑自评量表分别对两组患者术前和术后心理状态进行评估和比较,同时观察并记录两组患者术前、术后生命体
2、征的变化情况。结果Zung焦虑自评量表测评结果显示,两组患者术前的测评得分差异无统计学意义(P>O.05);两组患者术后测评得分较术前均有所降低,但观察组患者较对照组患者的得分下降更多(P<0.01)。干预前,两组患者生命体征均处于正常范围内,差异无统计学意义(P>O.05);.干预后,两组患者生命体征仍在正常范围内,但观察组患者的收缩压、舒张压、心率及呼吸频率与对照组患者比较有下降趋势(P3、介入治疗;导管室;人文关怀doi:10.3969/j.issn.1008—9993.2013.06.013【中图分类号】R815【文献标志码lA【文章编号l1008—9993(2013)06—0044—03HumanisticCareinPerioperativeNursingonPatientswithCoronaryInterventionaiTherapyLiuDan,LiuWenjie,HeChunmei(CatheterRoom,DepartmentofCardiology,SecondAffiliatedHospitalofHarBinM4、edicalUniversity,Harbin150086,China)【Abstract】objectiveTodiscusstheinfluenceofhumanisticcareonthementalstatusofpatientswitheor—onaryinterventionaltherapy.MethodsFromJanuary2011toDecember2012,400patientsundergoingcoronaryinterventionaltherapywereselectedandequallydividedintoobse5、rvationgroupandcontrolgroupaccordingtoadmissionsequence.Theconventionalhealthyeducationmethodandhumanisticcarewereperformedinthecontrolgroupandobservationgroup,respectively.ZungSelf—ratingAnxietyScalewasusedtoassessthepre—andpost—operativepsychologicalstatusofthepatients.Thecha6、ngesofpre—andpost—oper—ativelifesignsandanxietyofpatientsinbothgroupswereassessed.ResultsTheresultsofZungSelf-rat—ingAnxietyScaleforpsychologicalevaluationshowedthatnosignificantdifferencewasdetectedonthepreoperativescoresinthetwogroups(P>0.05);thepostoperativescoreswerebothsig7、nificantlyde—creasedinbothgroups,especiallyintheobservationgroup(P%O.01);thevaluesofvitalsignswerestillwithinthenormalrangeintheobservationgroup,whilethevalueswereonadownwardtrendinthecontrolgroup.ConclusionHumanisticcarecaneffectivelyrelieveanxietyofpatientswithcoronaryinterve8、ntionaltreatment,andstabilizepatients’lifesigns,andthu
3、介入治疗;导管室;人文关怀doi:10.3969/j.issn.1008—9993.2013.06.013【中图分类号】R815【文献标志码lA【文章编号l1008—9993(2013)06—0044—03HumanisticCareinPerioperativeNursingonPatientswithCoronaryInterventionaiTherapyLiuDan,LiuWenjie,HeChunmei(CatheterRoom,DepartmentofCardiology,SecondAffiliatedHospitalofHarBinM
4、edicalUniversity,Harbin150086,China)【Abstract】objectiveTodiscusstheinfluenceofhumanisticcareonthementalstatusofpatientswitheor—onaryinterventionaltherapy.MethodsFromJanuary2011toDecember2012,400patientsundergoingcoronaryinterventionaltherapywereselectedandequallydividedintoobse
5、rvationgroupandcontrolgroupaccordingtoadmissionsequence.Theconventionalhealthyeducationmethodandhumanisticcarewereperformedinthecontrolgroupandobservationgroup,respectively.ZungSelf—ratingAnxietyScalewasusedtoassessthepre—andpost—operativepsychologicalstatusofthepatients.Thecha
6、ngesofpre—andpost—oper—ativelifesignsandanxietyofpatientsinbothgroupswereassessed.ResultsTheresultsofZungSelf-rat—ingAnxietyScaleforpsychologicalevaluationshowedthatnosignificantdifferencewasdetectedonthepreoperativescoresinthetwogroups(P>0.05);thepostoperativescoreswerebothsig
7、nificantlyde—creasedinbothgroups,especiallyintheobservationgroup(P%O.01);thevaluesofvitalsignswerestillwithinthenormalrangeintheobservationgroup,whilethevalueswereonadownwardtrendinthecontrolgroup.ConclusionHumanisticcarecaneffectivelyrelieveanxietyofpatientswithcoronaryinterve
8、ntionaltreatment,andstabilizepatients’lifesigns,andthu
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