CAJ | 학술논문

目的：探讨冠状动脉介入诊疗术与手术并发症的相关性。方法将212例行冠状动脉介入术患者根据焦虑自评量表评分分为焦虑组与非焦虑组。比较两组的并发症发生率以及术后疼痛程度，疼痛评分采用的是数字评价量表（ NRS）；另外可根据自制的调查问卷分析引起患者焦虑的原因。结果焦虑组与非焦虑组比较，在低血糖方面差异有统计学意义，发生率分别为12．3％和4％（χ2＝4．893，P＝0．027）；迷走神经反应症方面差异有统计学意义，发生率分别为12．3％和0（χ2＝5．321，P＝0．021）；两组在疼痛程度方面比较，差异有统计学意义（P＜0．05）；通过患者焦虑影响因素分析，在术前手术效果与方式为最主要影响因素，在术后担心手术并发症为最主要影响因素（86．79％）。结论冠状动脉介入术的术后并发症部分受患者焦虑情绪的影响，而影响焦虑的因素也是可分析的，部分因素通过系统化护理可能会得到改善。
목적：탐토관상동맥개입진료술여수술병발증적상관성。방법장212례행관상동맥개입술환자근거초필자평량표평분분위초필조여비초필조。비교량조적병발증발생솔이급술후동통정도，동통평분채용적시수자평개량표（ NRS）；령외가근거자제적조사문권분석인기환자초필적원인。결과초필조여비초필조비교，재저혈당방면차이유통계학의의，발생솔분별위12．3％화4％（χ2＝4．893，P＝0．027）；미주신경반응증방면차이유통계학의의，발생솔분별위12．3％화0（χ2＝5．321，P＝0．021）；량조재동통정도방면비교，차이유통계학의의（P＜0．05）；통과환자초필영향인소분석，재술전수술효과여방식위최주요영향인소，재술후담심수술병발증위최주요영향인소（86．79％）。결론관상동맥개입술적술후병발증부분수환자초필정서적영향，이영향초필적인소야시가분석적，부분인소통과계통화호리가능회득도개선。
Objective To explore correlation analysis about anxiety and surgical complications in coronary intervention diagnosis and treatment.Methods A total of 212 patients with coronary intervention were divided into two groups ( the anxious group and the not anx-ious group) and analyzed the cause of anxiety.The two groups were compared with complications and postoperative pain degree by NRS.Results The two groups were statistically significant differences in the low blood sugar, the vagus nerve reaction disease and pain score (12.3%, 4%, χ2 =4.893, P=0.027), (12.3%, 0, χ2 =5.321, P=0.021) and Z=-4.341, P=0<0.05.The operation effect and the way (85.85%) pre-operation and complications (86.79%) post-operation were the main reasons for anxiety.Conclusions The postoperative complications in coronary intervention diagnosis and treatment were affected by factors of anxiety, but some factors could be analyzed, so the systematic nursing service could prevent complications.