分级心理干预联合医护一体化护理对冠状动脉搭桥患者术后负性情绪及睡眠质量的影响

目的探讨分级心理干预联合医护一体化护理干预对冠状动脉搭桥患者术后负性情绪及睡眠质量的影响.方法将103例冠状动脉搭桥手术患者依照入院顺序分为研究组52例,对照组51例,对照组采取常规护理干预,研究组于对照组基础上采取分级心理干预联合医护一体化护理干预,两组均干预至出院.干预前后采用焦虑自评量表评定焦虑状况,抑郁自评量表评定抑郁状况,匹兹堡睡眠质量指数评定睡眠质量,日常生活能力指数评定日常生活能力,自护能力量表评定自护能力,自制护理工作满意度量表评定护理工作满意度.结果干预后两组焦虑自评量表、抑郁自评量表、匹兹堡睡眠质量指数评分较干预前显著下降(P<0.01),研究组评分均显著低于对照组(P<0.01);两组日常生活能力指数、自护能力量表评分较干预前显著升高(P<0.01),研究组评分均显著高于对照组(P<0.01);研究组护理工作满意度(98.1%)显著高于对照组(84.3%)(P<0.05).结论冠状动脉搭桥手术患者采取分级心理干预联合医护一体化护理干预,能显著缓解负性情绪,提升睡眠质量、日常生活能力,改善自护能力,提高护理工作满意度.

Effect of graded psychological intervention combined with integrated nursing intervention on postoperative negative emotion and sleep quality in patients undergoing coronary artery bypass grafting

Objective To investigate the effect of graded psychological intervention combined with integrated nursing intervention on postoperative negative emotion and sleep quality in patients undergoing coronary artery bypass grafting.Methods A total of 103 patients underwent coronary artery bypass surgery were divided into study group(n=52)and control group(n=51)according to the order of admission.The control group adopted routine nursing intervention,and the study group adopted graded psychological intervention combined with integrated medical and nursing intervention on the basis of the control group.Two groups of patients were treated until discharge.Before and after the intervention,SAS was used to assess anxiety,SDS was used to assess depression,PSQI was used to assess sleep quality,BI was used to assess daily living ability,ESCA was used to assess self-care ability,and nursing job satisfaction scale was used to assess nursing job satisfaction.Results After the intervention,the scores of SAS,SDS and PSQI in the two groups were significantly lower than those before the intervention(P<0.01),and the scores in the study group were significantly lower than those in the control group(P<0.01).The scores of BI and ESCA in the two groups were significantly higher than those before the intervention(P<0.01),and the scores in the study group were significantly higher than those in the control group(P<0.01).And the satisfaction of nursing work in the study group(98.1%)was significantly higher than that in the control group(84.3%)(P<0.05).Conclusions Patients undergoing coronary artery bypass surgery with graded psychological intervention combined with integrated medical and nursing interventions can significantly reduce negative emotions,improve sleep quality,ability to daily life,improve self-care ability,and increase nursing job satisfaction.