CAJ | 학술논문

目的：探讨双心护理干预对冠状动脉旁路移植术（ CABG）患者围术期焦虑抑郁的影响。方法：将115例行冠状动脉造影确定需要行CABG患者随机分为干预组60例和对照组55例。对照组给予常规护理，干预组在此基础上给予双心护理，即在注重患者心血管疾病整体护理同时强化心理护理的现代护理模式，并给予氟哌噻吨美利曲辛片和舍曲林等药物干预。从社区选取25位与患者性别、年龄、生活状况相近的正常人作为正常对照组，采用Zung焦虑自评量表（ SAS）和抑郁自评量表（ SDS）对三组进行焦虑抑郁评估。结果：干预前干预组和对照组SAS和SDS评分比较差异无统计学意义（P>0.05），但均明显高于正常对照组（P<0.01）；术后干预组SAS和SDS评分均比术前降低（P<0.01），且低于对照组（P<0.01）。结论：双心护理干预明显减轻或缓解CABG围术期患者焦虑和抑郁情绪，有助于改善预后。
목적：탐토쌍심호리간예대관상동맥방로이식술（ CABG）환자위술기초필억욱적영향。방법：장115례행관상동맥조영학정수요행CABG환자수궤분위간예조60례화대조조55례。대조조급여상규호리，간예조재차기출상급여쌍심호리，즉재주중환자심혈관질병정체호리동시강화심리호리적현대호리모식，병급여불고새둔미리곡신편화사곡림등약물간예。종사구선취25위여환자성별、년령、생활상황상근적정상인작위정상대조조，채용Zung초필자평량표（ SAS）화억욱자평량표（ SDS）대삼조진행초필억욱평고。결과：간예전간예조화대조조SAS화SDS평분비교차이무통계학의의（P>0.05），단균명현고우정상대조조（P<0.01）；술후간예조SAS화SDS평분균비술전강저（P<0.01），차저우대조조（P<0.01）。결론：쌍심호리간예명현감경혹완해CABG위술기환자초필화억욱정서，유조우개선예후。
Objective:To investigate the effect of psychological and cardiological care on perioperative anxiety and depression in patients with coronary artery bypass grafting( CABG). Methods:115 patients who would receive CABG were randomly divided into the intervention group(n=60)and the control group(n=55). The patients in the control group were given routine nursing care and the patients in the intervention group were provided psychological and cardiological care and drug intervention using Flupentixol and melitracen tablets and Sertraline. 25 healthy people were selected from the community as the normal control group. The anxiety and depression of the patients in the three groups was respectively assessed by using the Zung self—rating Anxiety Scale( SAS)and self—rating Depression Scale( SDS). Results:There were no statistically significant differences in the comparison of SAS and SDS scores between the two groups before the inter_vention(P>0. 05),but they were significantly higher than those in normal control group(P<0. 01);the scores of SAS and SDS de_creased after operation compared with those before operation in the intervention group(P<0. 01),and they were lower in the intervention group than the control group(P<0. 01). Conclusion:The psychological and cardiological care can obviously alleviate or relieve the periop_erative anxiety and depression of patients with CABG and it help to improve the prognosis.