CAJ | 학술논문

目的：探讨心理护理在主动脉夹层介入治疗中的应用效果。方法整群选取2013年2月-2014年12月该院收治的主动脉夹层介入治疗病人75例，并按照随机数字表法分为对照组(n=38)和观察组(n=39)。对照组行传统护理，观察组在对照组基础上加强个性化心理护理，对比两组不同护理的效果。结果观察组、对照组的干预后HAMA评分均明显地低于干预前(t=28.475，P<0.01；t=6.664，P<0.01)；干预后，观察组的HAMA评分明显地低于对照组(t=16.368，P<0.01)。观察组、对照组干预后的HAMD评分明显地低于干预前(t=23.902，P<0.01；t=11.839，P<0.01)；干预后，观察组的HAMD评分明显地低于对照组(t=14.484，P<0.01)。观察组的护理满意率达到97.4%，明显地高于对照组的73.7%(χ2=8.867，P<0.01)。结论在主动脉夹层介入治疗中，加强个性化心理护理可有效地改善病人的不良情绪，提高护理满意度。
목적：탐토심리호리재주동맥협층개입치료중적응용효과。방법정군선취2013년2월-2014년12월해원수치적주동맥협층개입치료병인75례，병안조수궤수자표법분위대조조(n=38)화관찰조(n=39)。대조조행전통호리，관찰조재대조조기출상가강개성화심리호리，대비량조불동호리적효과。결과관찰조、대조조적간예후HAMA평분균명현지저우간예전(t=28.475，P<0.01；t=6.664，P<0.01)；간예후，관찰조적HAMA평분명현지저우대조조(t=16.368，P<0.01)。관찰조、대조조간예후적HAMD평분명현지저우간예전(t=23.902，P<0.01；t=11.839，P<0.01)；간예후，관찰조적HAMD평분명현지저우대조조(t=14.484，P<0.01)。관찰조적호리만의솔체도97.4%，명현지고우대조조적73.7%(χ2=8.867，P<0.01)。결론재주동맥협층개입치료중，가강개성화심리호리가유효지개선병인적불량정서，제고호리만의도。
Objective To investigate the effect of psychological nursing applied to the interventional treatment for aortic dissection. Methods 75 aortic dissection cases with interventional treatment admitted in our hospital from February 2013 to December 2014 were selected and divided into the control group(n=38) and the observation group(n=39) in accordance with the random number table method. The control group was given traditional nursing, while the observation group was given strengthened psychological nursing combined with traditional nursing. And the nursing efficacy was compared between the two groups. Results The HAMA scores of post-intervention in the observation group were much lower than those of pre-in-tervention (t=28.475, P<0.01). The HAMA scores of post-intervention in the control group were much lower than those of pre-intervention (t=6.664, P<0.01). The HAMA scores of post-intervention in the observation group were much lower than those in the control group (t=16.368, P<0.01). The HAMD scores of post-intervention in the observation group were much lower than those of pre-intervention (t=23.902, P<0.01). The HAMD scores of post-intervention in the control group were much lower than those of pre-intervention (t=11.839, P<0.01). The HAMD scores of post-intervention in the observation group were much lower than those in the control group(t=14.484, P<0.01). The level of nursing satisfaction was significantly higher in the observation group than that in the control group (97.4%vs 73.7%)(χ2=8.867, P<0.01). Conclusion Strengthening the individual psychological nursing in the interventional treatment of aortic dissection, can effectively improve the patients' bad mood and the level of nursing satisfaction.