CAJ | 학술논문

目的：探讨心脏手术患者围术期心理状态及其相应的护理对策。方法对来该医院诊断、治疗的153例心脏手术患者相关资料进行分析，研究中采用该院自拟问卷调查表对患者围术期心理状态进行调查，并采用手术患者心理状态评定量表、焦虑自评量表(SAS)以及抑郁自评量表(SDS)进行评定，并对心脏手术围术期患者采取有效措施加强心理干预。结果153例患者中126例围术期伴有紧张、恐惧等心理，占82.9%；118例患者围术期伴有担忧焦虑等心理，占77.6%；96例患者围术期伴有自卑抑郁等心理，占63.2%；心脏手术患评分为(4.34±1.01)分、SAS评分为(4.09±0.07)分(P<0.05)。结论心脏手术在临床上比较常见，患者围术期心理波动较大，应该采取积极有效的方法加强患者心理疏导，帮助患者调整状态，提高临床治疗效果。
목적：탐토심장수술환자위술기심리상태급기상응적호리대책。방법대래해의원진단、치료적153례심장수술환자상관자료진행분석，연구중채용해원자의문권조사표대환자위술기심리상태진행조사，병채용수술환자심리상태평정량표、초필자평량표(SAS)이급억욱자평량표(SDS)진행평정，병대심장수술위술기환자채취유효조시가강심리간예。결과153례환자중126례위술기반유긴장、공구등심리，점82.9%；118례환자위술기반유담우초필등심리，점77.6%；96례환자위술기반유자비억욱등심리，점63.2%；심장수술환평분위(4.34±1.01)분、SAS평분위(4.09±0.07)분(P<0.05)。결론심장수술재림상상비교상견，환자위술기심리파동교대，응해채취적겁유효적방법가강환자심리소도，방조환자조정상태，제고림상치료효과。
ObjectiveTo investigate the perioperative cardiac surgery patients and their corresponding mental state nursing. Methods The author hospital to diagnose cardiac surgery treatment of 153 cases of patient-related data were analyzed using the study in our hospital since the proposed questionnaire for patients undergoing psychological state around the investigation and the status of surgical patients using psychological assessment scale, self-Rating Anxiety scale (SAS) and self-Rating Depression scale (SDS) were assessed, and to take effective measures to patients undergoing cardiac surgery patients to strengthen the psychological intervention. Results 153 cases of the 126 cases of patients with perioperative stress, fear and other psychological, accounting for 82.9%; 118 patients with perioperative anxiety and other psychological concerns, accounting for 77.6%; 96 cases of patients with depression and low self-esteem associated with perioperative such as psychology, accounting 63.2%; after cardiac surgery intervention SDS score was (1.58 ± 0.29) points, SAS score was (1.89 ±0.72) points lower than before intervention (SDS score was (4.34±1.01) points, SAS rated (4.09±0.07) min) (P <0.05).Conclusions Cardiac surgery is more common in clinical practice, patients with perioperative psychological fluctuations, should take positive and effective way to strengthen the patient psychological counseling to help patients adjust status, improve clinical outcomes.