延续性护理干预对心脏外科手术患者负性情绪及预后的影响

目的 探讨延续性护理在心脏外科手术患者心脏康复中的应用效果.方法 选择择期拟行心脏外科手术的330例患者,采用随机数字表法分为对照组（164例）和干预组（166例）,对照组行常规护理,干预组在此基础上进行延续性护理.术后7d采用医院焦虑和抑郁量表（HADS）、简明疼痛量表（BPI）评价两组患者焦虑、抑郁及疼痛情况.结果 对照组患者手术后焦虑、抑郁得分分别为（4.0±2.21）,（5.5±2.37）分,干预组为（6.4±3.21）,（4.6±3.51）分,两组比较差异有统计学意义（t值分别为4.95,4.07;P＜0.01）.对照组患者术后疼痛评分及重症监护时间明显高于干预组[（0.9±2.63）/（0.7±2.34）分,（50.0±19.5）/（46.0±16.7）],差异有统计学意义（t值分别为0.47,-0.943,P＜0.05）.结论 延续性护理干预可减轻心脏外科手术患者住院期间焦虑、抑郁,减少患者术后重症监护时间,有利于患者术后恢复,建议在心脏外科围手术期推广.

Effect of continuous nursing intervention on the negative emotion and prognosis in patients with cardiac surgical operation

Objective To explore the effect of continuous nursing intervention on recovery in patients with cardiac surgical operation.Methods Three hundreds and thirty patients who were going to operate on heat were randomly divided into the intervention group （n =166） and the control group （n =164）.The control group received the convention nursing,and the intervention group received the continuous nursing on the basis of the convention nursing.Measurements were conducted before randomization and at seven days following surgery.The primary outcome was change in anxiety measured by the hospital anxiety and depression scale （HADS）.The secondary outcomes were change in depression （HADS）,and the change in pain was measured by the Brief Pain Inventory-short form （BPI）.Results The scores of anxiety and depression were respectively （4.0 ±2.21）,（5.5 ± 2.37） in the control group,and （6.4 ± 3.21）,（4.6 ± 3.51） in the intervention group,and the differences were statistically significant （t =4.95,4.07,respectively; P ＜ 0.01）.The scores of pain after operation and the time of intensive care in the control group （0.9 ±2.63,50.0 ± 19.5） were higher than those of the intervention group （0.7 ± 2.34,46.0 ± 16.7）,and the differences were statistically significant （t =0.47,-0.943,respectively; P ＜ 0.05）.Conclusions The continuous nursing can relieve anxiety and depression in patients with cardiac surgical operation during the hospital and reduce the time of intensive care,and is good for recovery after operation and should be promoted in the perioperative period of cardiac surgery.