护理干预对择期行经皮冠脉介入术患者焦虑情绪的影响及意义  

Impact of Nursing Intervention on Anxiety and Its Significance in Patients Undergoing Elective Percutaneous Coronary Intervention

作　　者：李灵霞[1] 

机构地区：[1]河南大学第一附属医院手术室,河南开封475000

出　　处：《南昌大学学报（医学版）》2013年第8期44-46,共3页Journal of Nanchang University：Medical Sciences

摘　　要：目的探讨择期行经皮冠脉介入术患者焦虑的主要表现形式及原因,并分析护理干预对焦虑的影响及意义。方法将400例择期行经皮冠脉介入术患者按随机数字表分为对照组与观察组,每组200例。对照组采用常规护理措施,观察组在对照组基础上采取更加积极的护理干预。护理干预前后对2组患者进行问卷调查并作Zung自评焦虑量表(SAS)评分。结果担心手术、麻醉与预后,缺乏对疾病的认知,担心医疗费用,医院的环境因素是引起患者焦虑的主要因素;护理干预后2组SAS评分均较干预前明显降低(P<0.01),观察组SAS评分[(42.08±3.83)分]明显低于对照组[(47.48±4.23)分](P<0.01)。结论择期行经皮冠脉介入术患者存在不同程度的焦虑情绪,通过针对性的护理干预,能明显缓解患者的焦虑情绪。Objective To investigate the main manifestations and causes of anxiety in patients undergoing elective percutaneous coronary intervention,and to analyze the impact of nursing intervention on anxiety and its significance.Methods A total of 400patients undergoing elective percutaneous coronary intervention were randomly given routine nursing care alone（control group,n=200）or in combination with positive nursing intervention（observation group,n=200）.Questionnaire survey was performed and SAS scores were recorded before and after nursing intervention.Results The surgery,anesthesia,prognosis,lack of awareness of disease,medical costs and hospital environment were the main factors causing anxiety.SAS scores significantly reduced in both groups after nursing intervention（P＆lt;0.01）.Compared with control group,SAS scores obviously decreased in observation group（42.08±3.83vs 47.48±4.23,P＆lt;0.01）.Conclusion Patients undergoing elective percutaneous coronary intervention have different degrees of anxiety.Targeted nursing intervention can significantly alleviate the anxiety.

关 键 词：经皮冠脉介入术 焦虑情绪 护理干预 

分 类 号：R473.6[医药卫生—护理学]