个性化综合护理干预在iabp患者中应用的效果评价

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1、个性化综合护理干预在IABP患者中应用的效果评价Theefficacyofpersonalizedcomprehensivenursingcarestrategyonpsychologicalstressforpatientswithintra-aorticballoonpumpusage南京医科大学附属南京医院（南京市第一医院）心内科CCU周娟娟宋萍摘要：目的比较个性化综合护理干预对IABP患者焦虑抑郁状况、IABP平均应用时间、患者舒适度、护理满意度的影响。方法将符合条件的80例IABP患者按随机数字法分为实验组和对照组各40例

2、。其中对照组给予常规护理，实验组在常规护理的基础上同时实施个性化的综合护理干预。对护理干预后两组患者焦虑抑郁状况、IABP平均置管时间、舒适度以及护理满意度进行比较。结果实验组患者焦虑评分在置管后第3天第6天及拔管后低于对照组，差异有统计学意义（p<0.05）；实验组抑郁评分在置管后第6天及拔管后低于对照组，差异有统计学意义（p<0.05）；实验组IABP平均置管时间为119.4±29.4(h)，对照组为141.3±30.7(h),差异有统计学意义（p<0.05）；实验组舒适度评分高于对照组，差异有统计学意义（p<0.05）；两组护

3、理满意度差异无统计学意义(p＞0.05)。结论个性化综合护理干预能有效缓解IABP患者焦虑抑郁状况，减少IABP置管时间和提高患者舒适度，从而促进患者躯体和心理的全面康复，对临床护理实践具有指导意义。关键词：主动脉球囊反搏；个性化综合护理干预；焦虑；抑郁；舒适度Objective:Patientsreceivingintra-aorticballoonpump(IABP)insertionareeasiertofeelanxiousanddepressed,whentheykeepstayinginsuchastationinsul

4、atingfromtheoutside.Thisstudysoughttoevaluateeffectsofthepersonalizedcomprehensivenursingcarestrategyonthosepatients.Methods: Atotalof80patientsundergoingIABPinsertionwereenrolled,whowerethenrandomlydividedintotwogroupsat1:1ratio,describedasexperimentalgroupandcontrolg

5、roup,respectively.Patientsinthecontrolgroupreceivedtheroutingnursingcarestrategyonly,whiletheremainedpatientsreceivedextrapersonalizedcomprehensivenursingintervention.Theself-ratinganxietyscale(SAS)andself-ratingdepressionscale(SDS)wereusedseparatelytoevaluatetheirdepr

6、essioncondition,atday1，day3,day6afterIABPinsertionandwithin6hourswhenIABPwasremoved.BeforeremovingIABP,thedegreesofcomfortamongsuchpatientswereassessed.ThemeandurationsofIABPapplication,aswellasthelevelsofsatisfactionamongthesepatientswerealsorecordedwhentheylefthospit

7、al.Results: ThepersonalizedcomprehensivenursinginterventionwasmorehelpfulforpatientswithIABPtorelievetheiranxietiesatday3,day6afterinsertionandwithin24hourswhenIABPwasremoved,comparedtothecontrolgroup(P<0.05).Thesimilarresultsindicatinglowerdepressedscoreswereobservedi

8、ntheexperimentalgroupatday6afterIABPinsertionandwithin24hourswhenIABPwasremoved(P<0.05).AshorterdurationofIABPapplica