齐鲁护理杂志
齊魯護理雜誌
제로호리잡지
JOURNAL OF QILU NURSING
2015年
13期
32-34
,共3页
认知行为干预%冠状动脉旁路移植术%焦虑%抑郁%血流动力学
認知行為榦預%冠狀動脈徬路移植術%焦慮%抑鬱%血流動力學
인지행위간예%관상동맥방로이식술%초필%억욱%혈류동역학
Cognitive behavioral intervention%CABG%Anxiety%Depression%Hemodynamics
目的：探讨认知行为对冠状动脉旁路移植术（ CABG）患者焦虑、抑郁状态、血流动力学和心脏功能恢复的影响。方法：将冠心病并行CABG的患者66例随机分为对照组30例和干预组36例，对照组给予常规护理，干预组在常规护理的基础上给予认知行为干预，包括认知疗法和行为疗法；观察两组患者干预前后的心理状态、血流动力学检测结果，导管留置时间、监护时间、住院时间的变化。结果：干预后干预组SAS、SDS评分均优于对照组（ P<0.05），术前12 h与术后72 h干预组血流动力学参数HR、SBP、CO、SVR均优于对照组（P<0.05），术后气管插管时间、监护时间、住院时间均少于对照组（P<0.05）；干预组饮食运动规律性、服药依从性、患者满意度明显好于对照组（ P<0.05）。结论：认知行为干预能改善CABG患者围术期心理状况，有效降低手术患者因应激而引起的反射性心率、血压升高，降低焦虑、抑郁评分，同时能够稳定围术期血流动力学，增加术后心排血量，促进术后康复，提高患者生活质量，值得在临床推广应用。
目的：探討認知行為對冠狀動脈徬路移植術（ CABG）患者焦慮、抑鬱狀態、血流動力學和心髒功能恢複的影響。方法：將冠心病併行CABG的患者66例隨機分為對照組30例和榦預組36例，對照組給予常規護理，榦預組在常規護理的基礎上給予認知行為榦預，包括認知療法和行為療法；觀察兩組患者榦預前後的心理狀態、血流動力學檢測結果，導管留置時間、鑑護時間、住院時間的變化。結果：榦預後榦預組SAS、SDS評分均優于對照組（ P<0.05），術前12 h與術後72 h榦預組血流動力學參數HR、SBP、CO、SVR均優于對照組（P<0.05），術後氣管插管時間、鑑護時間、住院時間均少于對照組（P<0.05）；榦預組飲食運動規律性、服藥依從性、患者滿意度明顯好于對照組（ P<0.05）。結論：認知行為榦預能改善CABG患者圍術期心理狀況，有效降低手術患者因應激而引起的反射性心率、血壓升高，降低焦慮、抑鬱評分，同時能夠穩定圍術期血流動力學，增加術後心排血量，促進術後康複，提高患者生活質量，值得在臨床推廣應用。
목적：탐토인지행위대관상동맥방로이식술（ CABG）환자초필、억욱상태、혈류동역학화심장공능회복적영향。방법：장관심병병행CABG적환자66례수궤분위대조조30례화간예조36례，대조조급여상규호리，간예조재상규호리적기출상급여인지행위간예，포괄인지요법화행위요법；관찰량조환자간예전후적심리상태、혈류동역학검측결과，도관류치시간、감호시간、주원시간적변화。결과：간예후간예조SAS、SDS평분균우우대조조（ P<0.05），술전12 h여술후72 h간예조혈류동역학삼수HR、SBP、CO、SVR균우우대조조（P<0.05），술후기관삽관시간、감호시간、주원시간균소우대조조（P<0.05）；간예조음식운동규률성、복약의종성、환자만의도명현호우대조조（ P<0.05）。결론：인지행위간예능개선CABG환자위술기심리상황，유효강저수술환자인응격이인기적반사성심솔、혈압승고，강저초필、억욱평분，동시능구은정위술기혈류동역학，증가술후심배혈량，촉진술후강복，제고환자생활질량，치득재림상추엄응용。
Objective:To discuss the influence of cognitive behavior on anxiety,depression,hemodynamics and cardiac function recovery in patients with coronary artery bypass grafting( CABG). Methods:66 patients undergoing CABG were randomly divided into the control group(n=30)and the intervention group(n=36). The routine nursing care and cognitive behavioral intervention were respectively given to the patients in the control and intervention groups. The mental state,hemodynamic test results,indwelling time of catheter,the time of monitoring and hospitalization were observed in the two groups before and after intervention. Results:After the intervention,the SAS and SDS scores were superior in the intervention group to the control group(P<0. 05);the hemodynamic parameters of HR,SBP,CO and SVR were better in the intervention group than the control group 12 hours before operation and 72 hours after operation(P<0. 05);the postop-erative tracheal intubation time,length of stay in ICU and hospitalization time was shorter in the intervention group than the control group ( P<0. 05);the regularity of diet and exercise,medication compliance and satisfaction of the patients were significantly better in the inter-vention group than the control group(P<0. 05). Conclusion:The cognitive behavioral intervention can improve perioperative psychological status of patients with CABG,effectively reduce the reflective heart rate and elevation of blood pressure resulting from stress of the patients;it can also reduce the scores of anxiety and depression and stabilize hemodynamics and increase postoperative cardiac output so as to pro-mote postoperative recovery and improve the quality of life of the patients.
