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Aim. To investigate the factors that are related to increased anxiety before elective coronary angiography. Background. Anxiety before coronary angiography is an important factor for complications. To know the factors for increased anxiety, it is important for nurse to prevent complications. Design. A cross‐sectional study design was used. The study included 88 consecutive patients waiting for coronary angiography. Methods. A data‐collecting form, which included questions about demographic features, health history and angiography, was completed by the participants on the day of coronary angiography. The level of state and trait anxiety was measured by Spielberger's State‐Trait Anxiety Inventory. Multivariate Analysis was performed to disclose the independency of the relation between state anxiety and factors. Results. Both trait and state anxiety levels were found to be moderate (age = 46, SD = 9, 24–67 years and age = 40, SD = 10, 21–65 years, respectively). There was a significant relation between state and trait anxiety levels (r = 0·56, p < 0·001). Among the investigated factors, only the trait anxiety (p < 0·001) and time on waiting list (p = 0·020) were found to be independent. For predicting high level of state anxiety, the cut‐off value of trait anxiety was found to be 48 with a sensitivity of 67% and specificity of 67% and cut‐off value of time on waiting list was found to be seven days with a sensitivity of 83% and specificity of 52%. Conclusions. The time on waiting list and trait anxiety levels are the most important factors for state anxiety level. To prevent high level of coronary angiography‐related anxiety, those patients with trait anxiety level >48 and time on waiting list >7 days should be managed specifically. The preventive measures should be specifically focused on the connection between state and trait anxiety. Relevance to clinical practice. Nursing planning should be focused on patients especially those on a long‐time waiting list and on patients with high trait anxiety level prior to coronary intervention. 相似文献
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目的:探讨脑电生物反馈疗法治疗老年焦虑症患者的疗效。方法:将老年焦虑症患者64例分为研究组34例和对照组30例。2组均采用舍曲林治疗,研究组加用脑电生物反馈治疗。采用汉密尔顿焦虑量表(HAMA)评定焦虑疗效,用费城老年中心信心量表(PGCMS)评定患者的主观幸福感。结果:治疗8周后,2组HAMA评分均较治疗前显著降低,且研究组较对照组下降更显著(均P%0.05);治疗后2组PGCMS总分及各项评分均较治疗前显著提高,且研究组总分及“激越”和“孤独与不满”因子评分更高于对照组(均P〈0.05);研究组的显效率明显高于对照组(P〈0.05)。结论:脑电生物反馈疗法对老年焦虑症患者有较好的辅助治疗作用。 相似文献
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经股动脉路径行冠状动脉造影术后不同护理体位的研究 总被引:2,自引:0,他引:2
[目的]探讨经股动脉路径行冠状动脉造影术后改变病人体位,对病人术后不良反应及并发症的影响。[方法]选择我院心内科2008年1月—2009年12月行冠状动脉造影手术的住院病人150例,将其随机分为两组,对照组68例,实验组82例,观察24 h。对照组病人术后平卧位,沙袋压迫穿刺处6 h,术肢伸直制动,卧床24 h后下床活动。实验组术后在沙袋压迫穿刺处6 h基础上,指导病人侧卧位与平卧位交替,术侧肢体伸直。[结果]对照组有9例(13.2%)病人出现皮下血肿或皮肤淤斑,48例(70.6%)出现腰背酸痛,19例(27.9%)出现腹胀,35例(51.5%)出现失眠,10例(14.7%)出现排尿困难以及1例(1.5%)假性动脉瘤。实验组有10例(12.2%)病人出现皮下血肿或皮肤淤斑,15例(18.3%)出现腰背酸痛,7例(8.5%)出现腹胀,5例(6.1%)出现失眠,1例(1.2%)排尿困难者以及1例(1.2%)假性动脉瘤。[结论]冠状动脉造影术后病人采取平卧位与侧卧位交替的护理体位,能够减少病人术后并发症及不良反应的发生,增加舒适度。 相似文献
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Ozhan H Akdemir R Balbay O Arbak P Erbas M Gunduz H Yazici M Erbilen E Uyan C 《The international journal of cardiovascular imaging》2004,20(6):465-470
Background and objectives Adverse respiratory reactions have been reported with intravascular radiographic contrast media. The aim of the present study is to assess the effects of iohexol on pulmonary functions in patients undergoing diagnostic coronary angiography (CA). Materials and methods: 30 patients enrolled in the study. The respiratory functions of the patients were measured at three different stages during angiography (before, immediately after and 2 h later) and arterial blood gas analyses were performed at six stages during CA (before, immediately after the insertion of angiography catheter, 2 min after the injection of contrast agent, at the end of angiography, an hour and 2 h after angiography). A single, experienced angiographer performed the angiography procedures via radial artery route. Totally six multiple angled views of the left and right coronary arteries were recorded in all patients by hand injection. None of the patients were performed ventriculography. Results: Angiography caused significant reduction in forced expiratory volume in 1 sec [FEV1] (from 103 ± 15 to 95 ± 17, p < 0.01), forced vital capacity [FVC] (from 99 ± 13 to 95 ± 18, p < 0.05) and maximum mid-expiratory flow rate [MMF] (from 95 ± 33 to 84 ± 29, p < 0.01) whereas there were no significant changes in the mean FEV1/FVC ratios at different stages of angiography. Statistically significant decrease in PaO2 (from 91 ± 10 to 85 ± 13 mmHg, p < 0.01) and arterial O2 saturation (from 97 ± 1% to 96 ± 1%, p < 0.01) were also observed. Data in present study showed a clinically insignificant but statistically significant restrictive impairment in pulmonary functions. Conclusions: Diagnostic CA using iohexol decreases ventilatory functions in a small but significant extent in patients without any overt pulmonary disease. 相似文献
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[目的]探讨人本疗法心理干预对冠状动脉造影病人焦虑的影响。[方法]将80例行冠状动脉造影焦虑的病人随机分为观察组和对照组各40例,对照组行常规健康教育,观察组在此基础上给予人本疗法心理干预,分别于确诊后和冠状动脉介入术前30min采用焦虑自评量表(SAS)进行评分。[结果]观察组冠状动脉造影介入前30min焦虑评分显著低于对照组(P<0.01)。[结论]对冠状动脉造影介入术前病人实施人本疗法心理干预,可减低病人焦虑程度。 相似文献
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目的探讨冠状动脉旁路移植术患者术前的焦虑状态及其影响因素,为临床实施健康教育、心理护理提供依据。方法采用焦虑自评量表(self-rating anxiety scale,SAS)于2008年7月-2010年5月对本院89例冠状动脉旁路移植术患者进行术前焦虑状态调查。结果冠状动脉旁路移植术患者术前SAS得分高于常模(P<0.01);患者以中度焦虑为主;年龄、文化程度及婚姻状况是患者术前焦虑程度的影响因素(均P<0.05)。结论冠状动脉旁路移植术患者术前存在不同程度的焦虑状态,年龄越大、文化程度越高及未婚或离异患者的焦虑程度越高,临床医护人员应为不同的患者实施针对性的心理疏导及社会支持,从而保证手术顺利进行,促进患者早日康复。 相似文献
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人本疗法对冠状动脉造影病人焦虑的影响 总被引:1,自引:0,他引:1
[目的]探讨人本疗法心理干预对冠状动脉造影病人焦虑的影响。[方法]将80例行冠状动脉造影焦虑的病人随机分为观察组和对照组各40倒,对照组行常规健康教育,观察组在此基础上给予人本疗法心理干预,分别于确诊后和冠状动脉介入术前30min采用焦虑自评量表(SAS)进行评分。[结果]观察组冠状动脉造影介入前30min焦虑评分显著低于对照组(P〈0.01)。[结论]对冠状动脉造影介入术前病人实施人本疗法心理干预,可减低病人焦虑程度。 相似文献
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王春地 《实用临床医药杂志》2013,17(12):160-161,164
目的探讨心理护理对于普外科腹腔镜胆囊切除术患者术前焦虑和术后疼痛的影响。方法对普外科53例腹腔镜胆囊切除术患者进行心理护理,并与同期接受常规护理的46例腹腔镜胆囊切除术患者进行对照,观察2组患者术前焦虑和术后疼痛情况。结果研究组患者的术前焦虑水平显著低于对照组,且术中出血及手术耗时均显著较对照组短。研究组患者的术后疼痛VAS评分显著低于对照组,术后通气更早,住院时间更短,且差异显著。结论心理护理可以有效减轻腹腔镜胆囊切除术患者的术前焦虑和术后疼痛。 相似文献
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老年患者冠状动脉造影术后不适原因分析及对策 总被引:5,自引:1,他引:5
通过观察64例老年冠状动脉造影术后患者,对其术后常见不适的种类进行分析.结合老年人生理、心理特点提出护理对策:指导腰部放松运动,做好心理护理,给予适量镇静剂,术前训练床上排尿,严格皮肤交接班。 相似文献
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[目的]研究心理干预对冠心病病人的疗效、焦虑及抑郁的影响。[方法]将120例冠心病病人随机分成干预组和对照组,每组60例。干预组在接受常规心内科治疗及护理的基础上给予心理干预;对照组仅接受常规治疗及护理。以Zung氏焦虑自评量表(SAS)、抑郁自评量表(SDS)为评估工具。对两组病人治疗前后SAS、SDS评分及临床疗效进行比较。[结果]干预组治疗后焦虑、抑郁评分显著低于治疗前及对照组(P〈0.05);住院天数短于对照组(P〈0.05),疗效显著优于对照组(P〈0.01)。[结论]心理干预是降低冠心病病人焦虑、抑郁情绪障碍、缩短住院时间、提高疗效的有效方法。 相似文献
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Effect of coronary revascularization on long‐term clinical outcomes in patients with ischemic cardiomyopathy and recurrent ventricular arrhythmia 下载免费PDF全文
Ihab Elsokkari MBBCh MMed FRACP Ratika Parkash MD FRCPC Chris J. Gray MD FRCPC Martin J. Gardner MD FRCPC Amir M. AbdelWahab MBBCh MSC MD Steve Doucette MSc Anthony S. Tang MD FHRS George A. Wells MD William G. Stevenson MD FHRS John L. Sapp MD FRCPC FHRS 《Pacing and clinical electrophysiology : PACE》2018,41(7):775-779
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目的 总结主动脉瓣关闭不全患者行冠状动脉造影术后并发症的护理措施。方法 用Judkins法行冠状动脉造影,记录术后出现的并发症,并施予相应护理。结果 23例老年患者手术成功率为100%,术后心绞痛发生率4.3%、出血发生率13.0%、血管迷走神经反射发生率4.3%、排尿困难发生率21.7%。以上并发症经及时采取护理措施均得到缓解。结论 主动脉瓣关闭不全患者进行冠状动脉造影检查术后有一定的并发症发生率,尤其易发生出血和排尿困难,但是可以预防和治疗。 相似文献
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迟华群 《中华现代护理杂志》2014,(5):539-541
目的 探讨细节护理在经皮股动脉行冠状动脉造影患者中应用与效果分析.方法 将2011年11月至2012年11月收治的286例经皮股动脉行冠状动脉造影患者随机分为观察组152例和对照组134例.对照组采用传统的护理方法,观察组采取细节护理.比较两组患者的手术成功率和患者满意度.结果 观察组手术成功率为100.00%(152/152),高于对照组的84.33% (113/134),两组比较差异有统计学意义(x2=5.25,P<0.05);对照组患者满意度平均(81.41±3.67)分,明显低于观察组(97.95±2.02)分,两组比较差异有统计学意义(t=3.54,P<0.05).结论 检查前细致的细节护理和检查中正确配合医生指导患者配合检查,能提高患者手术成功率和患者满意度,细节护理值得在临床推广使用. 相似文献
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[目的]研究心理干预对冠心病病人的疗效、焦虑及抑郁的影响。[方法]将120例冠心病病人随机分成干预组和对照组,每组60例。干预组在接受常规心内科治疗及护理的基础上给予心理干预;对照组仅接受常规治疗及护理。以Zung氏焦虑自评量表(SAS)、抑郁自评量表(SDS)为评估工具。对两组病人治疗前后SAS、SDS评分及临床疗效进行比较。[结果]干预组治疗后焦虑、抑郁评分显著低于治疗前及对照组(P<0.05);住院天数短于对照组(P<0.05),疗效显著优于对照组(P<0.01)。[结论]心理干预是降低冠心病病人焦虑、抑郁情绪障碍、缩短住院时间、提高疗效的有效方法。 相似文献