认知行为护理干预对经皮冠状动脉介入治疗患者焦虑的影响  

Effects of Cognitive Behavior Nursing Intervention on Anxiety of Patients Receiving Percutaneous Coronary Artery Intervention

作　　者：秦发伟[1] 解晨[1] 杨丽娟[1] 李文慧[2] 刘轶平[1] 金琳[1] 

机构地区：[1]山东省立医院心血管中心,山东济南250021 [2]上海交通大学附属瑞金医院,上海200025

出　　处：《护理学报》2007年第9期81-82,共2页Journal of Nursing（China）

基　　金：2005年山东省卫生厅立项课题(2005HW105)

摘　　要：目的探讨认知行为护理干预在经皮冠状动脉介入治疗(PCI)前后对改善患者焦虑情绪的作用。方法将600例PCI冠心病患者随机分为两组,观察组接受认知行为护理干预,对照组接受常规术前护理。两组患者在PCI前后使用SAS量表进行焦虑评分。结果两组在PCI术前SAS评分差异无统计学意义(P>0.05);术后2周观察组与对照组SAS评分为(31.7±1.7)、(42.9±1.2)分,术后3个月SAS评分为(29.2±2.1)、(39.3±2.7)分,差异均有统计学意义(P<0.01),观察组焦虑明显改善。结论认知行为护理干预在PCI前后对患者的焦虑情绪作用显著,改善了护患关系,提高护理质量,在临床护理工作中具有一定的实践意义。Objective To explore the effect of cognitive behavior nursing intervention on anxious moods of patients receiving percu- taneous coronary artery intervention （PCI）. Methods 600 patients with coronary diseases who were ready to receive PCI were divided into two groups at random. Patients in observation group received cognitive behavior nursing intervention, while those in control group received regular preoperative nursing. Scores of anxiety of patients in both groups were assessed by SAS before and after PCI. Results There was no significant difference in SAS score between both groups before PCI （P〉0.05）. But SAS scores of observation group and control group were （31.7±1.7） and （42.9±1.2） respectively （P〈0.01） two weeks after PCI and （29.2±2.1） and （39.2±2.7） respectively （P〈0.01） three months after PCI, which showed significant difference statistically. Anxiety in observation group was improved greatly. Conclusion The cognitive behavior nursing intervention can significantly alleviate anxious mood of patients before and after PCI, which also can enhance the relationship between patients and nurses, improve nursing quality and can be practical in nursing work.

关 键 词：认知行为护理干预 冠状动脉介入治疗 焦虑情绪 

分 类 号：R471[医药卫生—护理学] R815[医药卫生—临床医学]