CAJ | 학술논문

目的探讨延续性护理在心脏外科手术患者心脏康复中的应用效果.方法选择择期拟行心脏外科手术的330例患者,采用随机数字表法分为对照组(164例)和干预组(166例),对照组行常规护理,干预组在此基础上进行延续性护理.术后7d采用医院焦虑和抑郁量表(HADS)、简明疼痛量表(BPI)评价两组患者焦虑、抑郁及疼痛情况.结果对照组患者手术后焦虑、抑郁得分分别为(4.0±2.21),(5.5±2.37)分,干预组为(6.4±3.21),(4.6±3.51)分,两组比较差异有统计学意义(t值分别为4.95,4.07;P＜0.01).对照组患者术后疼痛评分及重症监护时间明显高于干预组[(0.9±2.63)/(0.7±2.34)分,(50.0±19.5)/(46.0±16.7)],差异有统计学意义(t值分别为0.47,-0.943,P＜0.05).结论延续性护理干预可减轻心脏外科手术患者住院期间焦虑、抑郁,减少患者术后重症监护时间,有利于患者术后恢复,建议在心脏外科围手术期推广.
목적 탐토연속성호리재심장외과수술환자심장강복중적응용효과.방법 선택택기의행심장외과수술적330례환자,채용수궤수자표법분위대조조(164례)화간예조(166례),대조조행상규호리,간예조재차기출상진행연속성호리.술후7d채용의원초필화억욱량표(HADS)、간명동통량표(BPI)평개량조환자초필、억욱급동통정황.결과 대조조환자수술후초필、억욱득분분별위(4.0±2.21),(5.5±2.37)분,간예조위(6.4±3.21),(4.6±3.51)분,량조비교차이유통계학의의(t치분별위4.95,4.07;P＜0.01).대조조환자술후동통평분급중증감호시간명현고우간예조[(0.9±2.63)/(0.7±2.34)분,(50.0±19.5)/(46.0±16.7)],차이유통계학의의(t치분별위0.47,-0.943,P＜0.05).결론 연속성호리간예가감경심장외과수술환자주원기간초필、억욱,감소환자술후중증감호시간,유리우환자술후회복,건의재심장외과위수술기추엄.
Objective To explore the effect of continuous nursing intervention on recovery in patients with cardiac surgical operation.Methods Three hundreds and thirty patients who were going to operate on heat were randomly divided into the intervention group (n =166) and the control group (n =164).The control group received the convention nursing,and the intervention group received the continuous nursing on the basis of the convention nursing.Measurements were conducted before randomization and at seven days following surgery.The primary outcome was change in anxiety measured by the hospital anxiety and depression scale (HADS).The secondary outcomes were change in depression (HADS),and the change in pain was measured by the Brief Pain Inventory-short form (BPI).Results The scores of anxiety and depression were respectively (4.0 ±2.21),(5.5 ± 2.37) in the control group,and (6.4 ± 3.21),(4.6 ± 3.51) in the intervention group,and the differences were statistically significant (t =4.95,4.07,respectively; P ＜ 0.01).The scores of pain after operation and the time of intensive care in the control group (0.9 ±2.63,50.0 ± 19.5) were higher than those of the intervention group (0.7 ± 2.34,46.0 ± 16.7),and the differences were statistically significant (t =0.47,-0.943,respectively; P ＜ 0.05).Conclusions The continuous nursing can relieve anxiety and depression in patients with cardiac surgical operation during the hospital and reduce the time of intensive care,and is good for recovery after operation and should be promoted in the perioperative period of cardiac surgery.