心脏术后早期下床对缓解患者术后焦虑和抑郁的影响

目的 探讨心脏术后患者早期下床活动对缓解其术后焦虑和抑郁的影响.方法 选取2015年1月至2016年1月于四川大学华西医院心脏内科行择期心脏换瓣手术患者208名,根据中位数将患者分成早期下床组(n=103)和非早期下床组(n=105).分别采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估两组患者术后的焦虑和抑郁水平.结果 两组患者均成功接受心脏手术,平均下床时间为(33.8±10.7)h;平均 SAS得分为(52.7± 11.4)分,平均 SDS得分为(50.9 ±12.7)分.结果显示,早期下床组患者平均 SAS评分和 SDS评分与非早期下床组患者比较,差异均有统计学意义(P<0.05).结论 早期下床对于缓解心脏术后患者焦虑和抑郁具有积极作用,有助于提高患者的心理健康水平.

Effect of Early Ambulation on Anxiety and Depression in Patients After Cardiac Surgery

Objective To investigate the effect of early ambulation on anxiety and depression in patients after cardiac surgery.Methods 208 Patients undergoing the selective cardiac valve replacement surgery in West China Hospital of Sichuan University from January of 2015 to January of 2016 were selected and divided into the early ambulation group (n=103)and non-early ambulation group (n=105)according to the median.The self-rating anxiety scale (SAS)and self-rating depression scale (SDS)were adopted to assess the levels of their anxiety and depression.Results All the patients received the cardiac surgery successfully and the average ambulation time was (33.8±10.7)h.The average scores of SAS and SDS were (52.7±11.4)and (50.9±12.7)respectively.The results showed that the average scores of SAS and SDA in the early ambulation group were significantly lower than those in the non-early ambulation group (P<0.05).Conclusion The early ambulation can relieve the anxiety and depression and improve the mental health in patients after cardiac surgery.