中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
16期
1909-1912
,共4页
经皮冠状动脉介入术%罗伊适应模式%心理护理干预
經皮冠狀動脈介入術%囉伊適應模式%心理護理榦預
경피관상동맥개입술%라이괄응모식%심리호리간예
Percutaneous coronary intervention%Roy' s adaptation model%Psychological nursing intervention
目的 探讨应用罗伊适应模式对经皮冠状动脉介入术(PCI)患者心理护理的效果.方法 将100例PCI患者按随机数字表法分为对照组和观察组,两组各50例,对照组患者按照介入治疗护理常规进行心理护理,观察组根据罗伊适应模式的6个步骤实施心理护理,比较两组患者干预前和入介入室后焦虑、抑郁评分改变和心率、收缩压/舒张压等生理指标.结果 干预前两组患者的焦虑、抑郁评分、心率、收缩压/舒张压比较,差异无统计学意义(P＞0.05);入介入室后对照组患者焦虑、抑郁评分为(41.95±4.11),(58.59±4.61)分,观察组为(33.27±3.51),(47.08±3.77)分,两组比较差异有统计学意义(t值分别为5.130,12.620;P ＜0.01).对照组患者心率、收缩压/舒张压分别为[(92.2±4.1)次/min,(120.4±20.3)/(71.5±8.54) mm Hg],高于观察组[(80.2±5.3)次/min,(105.9±21.0)/(63.7±13.2)mm Hg],差异有统计学意义(t值分别为6.54,7.18,5.93;P＜0.01).结论 应用罗伊适应模式进行心理护理干预能提高PCI患者的适应能力,减轻和缓解患者对PCI手术的焦虑、抑郁心理,保持生命体征平稳,促使手术顺利完成,提高患者满意度.
目的 探討應用囉伊適應模式對經皮冠狀動脈介入術(PCI)患者心理護理的效果.方法 將100例PCI患者按隨機數字錶法分為對照組和觀察組,兩組各50例,對照組患者按照介入治療護理常規進行心理護理,觀察組根據囉伊適應模式的6箇步驟實施心理護理,比較兩組患者榦預前和入介入室後焦慮、抑鬱評分改變和心率、收縮壓/舒張壓等生理指標.結果 榦預前兩組患者的焦慮、抑鬱評分、心率、收縮壓/舒張壓比較,差異無統計學意義(P＞0.05);入介入室後對照組患者焦慮、抑鬱評分為(41.95±4.11),(58.59±4.61)分,觀察組為(33.27±3.51),(47.08±3.77)分,兩組比較差異有統計學意義(t值分彆為5.130,12.620;P ＜0.01).對照組患者心率、收縮壓/舒張壓分彆為[(92.2±4.1)次/min,(120.4±20.3)/(71.5±8.54) mm Hg],高于觀察組[(80.2±5.3)次/min,(105.9±21.0)/(63.7±13.2)mm Hg],差異有統計學意義(t值分彆為6.54,7.18,5.93;P＜0.01).結論 應用囉伊適應模式進行心理護理榦預能提高PCI患者的適應能力,減輕和緩解患者對PCI手術的焦慮、抑鬱心理,保持生命體徵平穩,促使手術順利完成,提高患者滿意度.
목적 탐토응용라이괄응모식대경피관상동맥개입술(PCI)환자심리호리적효과.방법 장100례PCI환자안수궤수자표법분위대조조화관찰조,량조각50례,대조조환자안조개입치료호리상규진행심리호리,관찰조근거라이괄응모식적6개보취실시심리호리,비교량조환자간예전화입개입실후초필、억욱평분개변화심솔、수축압/서장압등생리지표.결과 간예전량조환자적초필、억욱평분、심솔、수축압/서장압비교,차이무통계학의의(P＞0.05);입개입실후대조조환자초필、억욱평분위(41.95±4.11),(58.59±4.61)분,관찰조위(33.27±3.51),(47.08±3.77)분,량조비교차이유통계학의의(t치분별위5.130,12.620;P ＜0.01).대조조환자심솔、수축압/서장압분별위[(92.2±4.1)차/min,(120.4±20.3)/(71.5±8.54) mm Hg],고우관찰조[(80.2±5.3)차/min,(105.9±21.0)/(63.7±13.2)mm Hg],차이유통계학의의(t치분별위6.54,7.18,5.93;P＜0.01).결론 응용라이괄응모식진행심리호리간예능제고PCI환자적괄응능력,감경화완해환자대PCI수술적초필、억욱심리,보지생명체정평은,촉사수술순리완성,제고환자만의도.
Objective To discuss the effect of Roy adaptation model on mental nursing of percutaneous coronary intervention (PCI) patients.Methods Totals of 100 cases were randomly divided into control group (n =50) and observation group (n =50).Control group received the routine psychological care,while observation group received the psychological nursing intervention according to Roy adaptation model that including 6 steps.Then,anxiety,depression score change and heart rate and systolic blood pressure and diastolic blood pressure and the change of physiological indexes were observed and compared before and after the intervention room.Results Before intervention,anxiety and depression scores,heart rate,systolic blood pressure between two groups were not found significant difference (t =1.21,0.97,1.06 ; P ＞ 0.05).After the intervention,the anxiety,depression scores in control group were higher than that of observation group [(41.95 ± 4.11) vs (33.27 ± 3.51),(58.59 ± 4.61) vs (47.08 ± 3.77)],and the differences were statistically significant (t =5.130,12.620 ; P ＜0.01),as well as the heart rate [(92.2 ±4.1) vs (80.2 ±5.3) bpm] and systolic/diastolic pressure [(120.4 ± 20.3) vs (105.9 ± 21.0) mm Hg,(71.5 ± 8.54) vs (63.7 ±13.2) mm Hg],and the differences were statistically significant (t =6.54,7.18,5.93 ;P ＜ 0.01).Conclusions Roy' s adaptation model of psychological nursing intervention can improve the adaptability of the patients with PCI,relieve patients' anxiety,depression psychology、maintain stable vital signs,ensure the surgery operation successfully completed,and improve patient' satisfaction.
