CAJ | 학술논문

目的了解冠状动脉支架植入术后再狭窄行冠脉搭桥患者术前的抑郁情绪情况,以便采用相应的护理措施.方法对冠状动脉支架植入术后再狭窄行冠脉搭桥术的71例患者,人院采用抑郁量表(SDS)调查,其中59例存在不同程度抑郁情绪,随机分为对照组29例,行心脏外科常规护理;干预组30例,行综合护理干预,护理干预10 d后(手术前)2组患者再次评分比较.结果干预组SDS评分明显低于干预前和对照组评分,其差异有统计学意义(P＜0.05);临床症状缓解程度干预组好于对照组.结论支架植入术后再狭窄患者拟行冠脉搭桥手术患者抑郁情绪发生率高,必须予以高度重视.采取相应的综合护理干预可有效减轻患者的抑郁情绪,为手术做好准备.
목적 료해관상동맥지가식입술후재협착행관맥탑교환자술전적억욱정서정황,이편채용상응적호리조시.방법 대관상동맥지가식입술후재협착행관맥탑교술적71례환자,인원채용억욱량표(SDS)조사,기중59례존재불동정도억욱정서,수궤분위대조조29례,행심장외과상규호리;간예조30례,행종합호리간예,호리간예10 d후(수술전)2조환자재차평분비교.결과 간예조SDS평분명현저우간예전화대조조평분,기차이유통계학의의(P＜0.05);림상증상완해정도간예조호우대조조.결론 지가식입술후재협착환자의행관맥탑교수술환자억욱정서발생솔고,필수여이고도중시.채취상응적종합호리간예가유효감경환자적억욱정서,위수술주호준비.
Objective To learn the depression levels of coronary restenosis patients after stent placement, so as to provide corresponding nursing strategies for them.Methods A total of 71 coronary restenosis cases after stent placement hospitalized in cardiovascular surgery department of our hospital were selected from 2004 to 2007.They were investigated by self-rating depression scale (SDS) .Among all cases,59 cases had different degrees of depression and were divided into test and control group randomly.29 cases in control group were given routine nursing care.Another 30 cases in test group were provided comprehensive nursing intervention.Rescoring with SDS of both group cases were compared with each other 10 days (preoperation) after nursing intervention.Results After 10 days (pre-operation) intervention, the scorings of test group were remarkably lower than those of either control group or before nursing intervention.There were statistical significant differences between them(P＜0.05).Clinical symptoms relieved in test group cases, which was better than that of control group.Conclusions Coronary restenosis cases after stent placement have higher incidence of depression feeling.We should pay attention to them and take corresponding comprehensive nursing intervention to relieve their depression, which is good for the preparation of their operation.