术前护理干预对于心脏外科手术病人焦虑和抑郁状态的影响

《术前护理干预对于心脏外科手术病人焦虑和抑郁状态的影响》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、术前护理干预对于心脏外科手术病人焦虑和抑郁状态的影响田月强刘俊田兵孙莹吴慕琳韩学美鲍莲华通讯作者屮国人民解放军总医院北京100853【摘要】R的：探讨术前护理干预对心脏病手术患者焦虑和抑郁状态的影响。方法：选取手术患者153例，将患者随机分为试验组(n=76)和对照组(n=77)。对照组给予常规的护理干预，而观察组在对照组的基础上给予个性化的护理干预,包括宣教手册和门尖交流等。所有指标分别在分组前和术后7天测量。观察指标包括焦虑和抑郁评分，ICU时间、术后住院天数。焦虑和抑郁评分通过医院焦虑抑郁量表评定。结果：153例患者屮有135例患者完成了试验，试验

2、组的焦虑评分(-3.6分，95%可信区间=-4.62-2.57,P<0.001)和抑郁评分(-2.1分，95%可信区间=-3.19to-0.92;P<0.001)明显降低，而ICU时间(P=0.05)和术后住院天数(P=0.17),两组没有统计学差异。结论：术前护理干预能够有效地改善接受心脏外科手术的患者的焦虑和抑郁，其应该被纳入到常规的心脏外科术前准备。【关键词】术前护理干预；焦虑；抑郁【中图分类号】R473【文献标识码】B【文章编号】1674-8999(2015)8-0119-02Influenceofpreoperativenursin

3、ginterventiondesignedforcardiacpatientsonanxietyanddepressionTianyue-qiang，LiuJun,TianBing，SunYing，Wumu-lin,Hanxue-mei，Baolian-hua*(GeneralHospitalofPLA,Belling100853)【Abstract】Objective:Toprobeintoinfluenceofpreoperativenursinginterventiondesignedforcardiacpatientsonanxietyandde

4、pression.Methods:Patientsincontrolgroup(n=77)receivedconventionalnursing.Patientsinexperimentgroup(n=76)receivedsystematicnursingintervention.Experimentgroupcomprisingusualcareplusaninformationleafletandverbaladvice.Measurementwasconductedbeforerandomizationandatsevendaysfollowin

5、gsurgery.TheprimaryoutcomewaschangeinanxietyanddepressionmeasuredbytheHospitalAnxietyandDepressionScale(HADS),lengthofIntensiveCareUnitstayandpostoperativehospitalstay.Results:Of153participantsrandomized,135(88.2%)completedthetrial.Participantswhoreceivedpreoperativeeducationexpe

6、riencedagreaterdecreaseinanxietyscore(meandifference-3.6points,95%CI-4.62to-2.57;P<0.001)andagreaterdecreaseindepressionscore(meandifference-2.1points,95%CI-3.19to-0.92;P<0.001)comparedwiththosewhodidnot.TherewassomeevidencetosuggestareducednumberofhoursspentintheIntensiveC

7、areUnitamongpreoperativeeducationpatients(P=0.05)butnodifferenceinlengthofpostoperativehospitalstay(P=0.17).Conclusions:Thisformofpreoperativenursinginterventioniseffectiveinreducinganxietyanddepressionamongcardiacsurgerypatients,preoperativenursinginterventionshouldbeincorporate

8、dintoroutinepracticetopreparecardiacpati