综合护理对中青年冠状动脉搭桥术患者焦虑抑郁状态的影响  

Effects of comprehensive nursing intervention on anxiety and depression of the youth underwent coronary artery bypass graft with anxiety and depression

作　　者：孟海红[1] 费忠化[1] 刘宏生[1] 

机构地区：[1]济宁医学院附属医院,山东济宁272029

出　　处：《济宁医学院学报》2015年第3期208-210,共3页Journal of Jining Medical University

基　　金：济宁市科技局资助项目(编号:2012jnwk03)

摘　　要：目的研究综合护理治疗措施对中青年冠状动脉搭桥术(CABG)患者围术期焦虑抑郁状态的影响。方法 85例年龄<60岁中青年CABG患者随机分为观察组(40例)和对照组(45例),对照组采用常规护理,观察组在此基础上给予相应的综合护理措施,入心脏外科第1天和术后第3天分别采用综合性医院焦虑抑郁量表(HAD)测评,比较两组护理效果。结果患者术前焦虑抑郁状态发生率为56.47%、42.35%,术后对照组焦虑抑郁状态发生率为40%、32%;两组患者术后第3天HAD评分均低于入科后第1天(P<0.05);观察组术后第3天焦虑、抑郁状态发生率和HAD评分均低于对照组(P<0.05)。结论中青年冠状动脉搭桥术患者围术期焦虑抑郁状态发生率高,应用综合性护理干预可改善患者术后焦虑抑郁状态。Ob j ective To explore the clinical effect of comprehensive nursing intervention for the youth with anxiety and depression in perioperative period of coronary artery bypass graft （CABG） .Methods 85 patients less than 60 years old before CABG were randomly divided into study group （ added comprehensive nursing intervention and individual psychotherapy ,40cases） and normal control group（45cases） .All patients were investigated by Hospital Anxiety and Depression Scale in perioperative period of CABG ,the incidence of anxiety and depression in two groups was compared .Results The incidence of anxiety and depression of patients before CABG were 56.47% 、42.35%respectively .After operation ,the incidence reduced to 40% 、32% in control group .On third postoperative day ,scores of HAD in two groups were significantly lower than which in the first day of cardiac surgery （P〈0.05） .Compared with control group ,HAD score and the incidence of anxiety and depression on third postoperative day were signifi‐cantly declined （P〈0.05） .Conclusion Young Patients have high incidence of anxiety and depression disorders in perioperative period of CABG .Comprehensive nursing intervention can reduce the incidence of anxiety and depres‐sion in perioperative period of CABG .

关 键 词：焦虑 抑郁 冠状动脉搭桥术 中青年 综合护理 

分 类 号：R47[医药卫生—护理学]