分散注意对经皮冠状动脉介入治疗术前患者心理状态的影响  

Effects of Distracting Attention on the Mentation of Patients before Percutaneous Coronary Intervention

作　　者：范文静[1] 宋淑平[2] 杨静[1] 金雁[1] 李明波[1] 董翠霞[1] 

机构地区：[1]哈尔滨医科大学附属第四医院心内科,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第四医院护理部,黑龙江哈尔滨150001

出　　处：《现代生物医学进展》2013年第35期6966-6968,6977,共4页Progress in Modern Biomedicine

摘　　要：目的：探讨分散注意对预行经皮冠状动脉介入治疗（PCI）患者心理状态的影响。方法i选取64例预行PCI的冠心病患者，随机分为对照组和试验组，各32例。对照组采用常规护理，试验组在对照组的基础上采用分散注意进行护理干预，采用Zung焦虑自评量表（sAs）及抑郁自评量表（SDS）对两组患者术前3d和术前1～3h的心理状况进行调查，静脉采血测定去甲肾上腺素（NE）、皮质醇（COS）浓度。结果：两组干预前SAS、SDS评分及血浆NE、COS水平比较差异无统计学意义（P〉0．05）；实施干预后，两组患者SAS评分、SDS评分及血浆NE、COS水平均有所下降，与干预前比较差异显著（P〈0．01），试验组与对照组比较，差异有统计学意义（P〈O．01）。结论：分散注意能有效的减轻PCI术前患者的焦虑等负性情绪，利于患者治疗及术后恢复。Objective： To investigate the effects of distracting attention on the mentation of patients before percutaneous coronary intervention （PCI）. Methods： 64 cases who were going to be treated with PCI were randomly divided into control group and experimental group, 32 cases in each group. The patients in control group were treated with routine nursing care, while the patients in experimental group were based on the use of distracting attention for nursing intervention. Venous blood was sampled to determine the concentrations of norepinephrine（NE） and cortisol（COS） and assess the therapeutic effect using self-rating anxiety scale（SAS） and Self-rating depression scale （SDS） on 3 days and 1 to 3 hours before operation. Results： After nursing intervention, the scores of SAS and SDS, as well as the concentrations of NE and COS in both groups were significantly lower compared with pre-intervention（P〈0.01）; and the index mentioned above in experimental group were significantly lower than those in the control group （P〈0.01）. Conclusion： Distracting attention could effectively relieve the patients＇ anxiety before PCI, which contibuted to the operation and recovery after operation.

关 键 词：分散注意 经皮冠状动脉介入 焦虑 护理观察 

分 类 号：R473.5[医药卫生—护理学]