摘要
目的探讨多元化术前访视模式对心脏瓣膜置换患者心理应激的影响。方法选取2019年5月至2020年4月云南省心血管外科研究所/昆明市延安医院心脏大血管外科收治的单纯瓣膜置换患者100例,对照组50例,进行传统常规术前访视,干预组50例,实施多元化术前访视,比较2组患者在手术前1 d访视前、麻醉诱导前访视后血浆促肾上腺皮质激素(ACTH)和皮质醇(Cor)浓度,同时监测心率(HR)、平均动脉压(MAP)及进行焦虑(SAS)和抑郁(SDS)自评量表评估。结果访视前后2组患者HR、MAP和SDS无明显变化,P>0.05,干预组的ACTH、Cor和SAS值访视后明显低于访视前(P<0.05),且2组患者访视后3项值的结果比较,干预组低于对照组(P<0.05)。结论多元化的术前访视模式能够提高患者对疾病术前相关知识的认知度能,缓解患者的不良情绪,有效减轻心理应激反应,使患者积极配合手术治疗和护理,提高患者满意度,提高护理质量。
Objective To investigate the effect of multiple preoperative visiting patterns on psychological stress in patients with cardiac valve replacement.Methods A total of 100 patients with simple valve replacement admitted to our department from May 2019 to April 2020 were selected.The control group of 50 cases received the traditional routine preoperative vising,the intervention group of 50 patients were treated with multiple preoperative visiting.Plasma corticotrophin(ACTH)and cortisol(Cor)concentrations were compared between the two groups one day before surgery,before anesthesia-induction after visiting,the heart rate(HR),mean arterial pressure(MAP)and anxiety(SAS)and depression(SDS)self-rating scales were also monitored.Results There were no significant changes in HR MAP and SDS in the two groups before and after visiting.The values of ACTH,Cor and SAS in the intervention group were significantly lower after visiting than before(P<0.05).And the values of the above three indexes after visiting in the intervention group were lower than the control group(P<0.05).Conclusion Diversified preoperative visiting mode can improve patients’awareness of preoperative knowledge of the disease,relieve patients’bad emotions,effectively reduce psychological stress response,thus make patients actively cooperate with surgical treatment and nursing,improve patient satisfaction and the quality of nursing.
作者
付欣桐
那竹惠
皮静虹
张敏
刘艳
刘秋含
单思碧
陈文敏
FU Xin-tong;NA Zhu-hui;PI Jing-hong;ZHANG Min;LIU Yan;LIU Qiu-han;SHAN Bi-si;CHEN Wen-min(Dept.of Cardiovascular Surgery,Kunming Yan’an Hospital,Yunnan Institute of Cardiovascular Surgery,Kunming Yunnan 650051,China)
出处
《昆明医科大学学报》
CAS
2021年第7期176-180,共5页
Journal of Kunming Medical University
基金
昆明市卫生科技人才培养项目暨“十百千”工程依托项目(2016SWJG)。
关键词
多元化
术前访视
心脏瓣膜置换
心理应激
Diversification
Preoperative interview
Cardiac valves
Psychological-stress
作者简介
付欣桐(1983-),女,云南沾益人,医学学士,主管护师,主要从事心脏外科临床护理工作,对本文有同等贡献;皮静虹,对本文有同等贡献;通信作者:陈文敏,E-mail:1367139004@qq.com。
