冠状动脉支架植入术后再狭窄拟行搭桥手术患者抑郁情绪的综合护理

目的 了解冠状动脉支架植入术后再狭窄行冠脉搭桥患者术前的抑郁情绪情况,以便采用相应的护理措施.方法 对冠状动脉支架植入术后再狭窄行冠脉搭桥术的71例患者,人院采用抑郁量表(SDS)调查,其中59例存在不同程度抑郁情绪,随机分为对照组29例,行心脏外科常规护理;干预组30例,行综合护理干预,护理干预10 d后(手术前)2组患者再次评分比较.结果 干预组SDS评分明显低于干预前和对照组评分,其差异有统计学意义(P＜0.05);临床症状缓解程度干预组好于对照组.结论 支架植入术后再狭窄患者拟行冠脉搭桥手术患者抑郁情绪发生率高,必须予以高度重视.采取相应的综合护理干预可有效减轻患者的抑郁情绪,为手术做好准备.

Nursing on coronary restenosis patients with depression after stent placement

Objective To learn the depression levels of coronary restenosis patients after stent placement, so as to provide corresponding nursing strategies for them.Methods A total of 71 coronary restenosis cases after stent placement hospitalized in cardiovascular surgery department of our hospital were selected from 2004 to 2007.They were investigated by self-rating depression scale (SDS) .Among all cases,59 cases had different degrees of depression and were divided into test and control group randomly.29 cases in control group were given routine nursing care.Another 30 cases in test group were provided comprehensive nursing intervention.Rescoring with SDS of both group cases were compared with each other 10 days (preoperation) after nursing intervention.Results After 10 days (pre-operation) intervention, the scorings of test group were remarkably lower than those of either control group or before nursing intervention.There were statistical significant differences between them(P＜0.05).Clinical symptoms relieved in test group cases, which was better than that of control group.Conclusions Coronary restenosis cases after stent placement have higher incidence of depression feeling.We should pay attention to them and take corresponding comprehensive nursing intervention to relieve their depression, which is good for the preparation of their operation.