家属心肺复苏培训改善PCI术后患者焦虑抑郁的效果  

Application of family members′ CPR training on improving psychological state of patients after PCI

作　　者：吴红斌[1] 祝览铭[2] 袁爱珠[1] 张邢炜[1] 冯国和[2] 

机构地区：[1]杭州师范大学附属医院心血管内科,310015 [2]杭州师范大学附属医院护理部,310015

出　　处：《中华现代护理杂志》2015年第26期3140-3142,共3页Chinese Journal of Modern Nursing

基　　金：基金项目：浙江省医药卫生一般研究计划（2013KYA162）

摘　　要：目的：探讨经皮冠状动脉介入治疗（ PCI）术后,患者家属接受心肺复苏（ CPR）培训对患者心理改善的作用。方法选取2013年9月—2014年8月在心血管内科行PCI手术的患者及其家属94组,采用抽签的方法随机分为观察组（49例）和对照组（45例）。对照组实施常规冠心病患者健康教育,观察组在实施常规健康教育的同时增加对患者家属冠心病健康教育和CPR操作的培训。于培训前、培训后3 d,培训后3个月对比患者焦虑自评量表（ SAS）和抑郁自评量表（ SDS）的得分情况。结果培训前,观察组与对照组的SAS和SDS得分差异无统计学意义（P〉0.05）。培训后3 d、培训后3个月,观察组SAS评分低于对照组,差异均有统计学意义（P〈0.05）。观察组患者培训后3 d、培训后3个月的SAS、SDS评分与培训前比较,差异有统计学意义（P〈0.05）。结论院内CPR培训对PCI术后患者焦虑心理有改善作用,CPR培训的延续性尚待加强,医院内CPR培训模式值得推广。Objective To explore the effect on family members′ cardiopulmonary resuscitation （ CPR） training and improving psychological state of patients after percutaneous coronary intervention （ PCI ） . Methods We selected 94 patients after PCI surgery and their family members from September 2013 to August 2014 in the Department of Cardiology, they were randomly divided into experimental group （ 49 cases ） and control group （45 cases）. The patients of control group were implemented conventional coronary heart disease health education, while patients and their families in the observation group were to be trained with coronary heart disease health education and CPR. The SAS, SDS scores were collected compared at the time before training, three days after training, and training after three months between two groups. Results Before the training, the scores of SAS and SDS of two groups had no significant differences （P〉0. 05）. At the three months and three days after the training, the scores of SAS in the observation group and control group were statistically significant compared with scores before training （P〈0. 05）. In the observation group and control group, three days and three months after traing, the scores of SAS and SDS were statistically significant compared with the scores before training （P〈0. 05）. Conclusions CPR training plays an active role in patient′anxiety psychology, but it still needs to strengthen the duration of training. The way of CPR training for the family members is worth of promotion.

关 键 词：心肺复苏 经皮冠状动脉介入术 家属培训 心理护理 

分 类 号：R473.5[医药卫生—护理学]