亲情护理联合赋能心理护理在PBMV围术期的应用  

Application of kindred-like nursing combined with empowerment psychological nursing in the perioperative period of PBMV

作　　者：张玉洁 翟晨岚 徐娅杰 赵秀灵 ZHANG Yujie;ZHAI Chenlan;XU Yajie;ZHAO Xiuling(Henan General Hospital,Zhengzhou 450000,Henan)

机构地区：[1]河南省职工医院,河南郑州450000

出　　处：《菏泽医学专科学校学报》2021年第4期49-52,56,共5页Journal of Heze Medical College

摘　　要：目的分析以家庭为中心的亲情护理联合赋能心理护理模式对行经皮二尖瓣球囊扩张术(PBMV)的风湿性心脏病患者预后的影响。方法回顾性分析我院88例行PBMV治疗的风湿性心脏病二尖瓣狭窄(MS)患者临床资料。对照组42例为常规护理,观察组46例采用以家庭为中心的亲情护理联合赋能心理护理。比较两组术前0.5 h、术后6 h血流动力学[平均动脉压(MAP)、心率(HR)]及入院时及出院时负性情绪[抑郁-焦虑-压力量表简体中文版(DASS-21)]、心理弹性[心理弹性量表(CD-RISC)]、希望水平[Herth希望量表(HHI)]差异,并记录两组并发症发生情况及近期预后情况[左心房内径(LAD)、美国纽约心脏病协会(NYHA)心功能分级]。结果术后6 h,两组MAP、HR均较术前0.5 h均降低(P<0.05);术前0.5 h、术后6 h时,观察组MAP、HR低于对照组(P<0.05)。出院时,对照组DASS-21评分及CD-RISC、HHI评分与入院时比较,P>0.05;观察组出院时DASS-21评分均较入院时降低(P<0.05),且均低于对照组(P<0.05);观察组出院时CD-RISC、HHI评分均较入院时升高(P<0.05),且均高于对照组(P<0.05)。出院6个月后,两组LAD、NYHA分级均较出院时升高(P<0.05),且对照组高于观察组(P<0.05)。两组并发症发生情况比较,P>0.05。结论以家庭为中心的亲情护理联合赋能心理护理模式不仅能调节MS患者PBMV围术期心理状态,还能改善预后,在风湿性心脏病管理中发挥重要作用。Objective To analyze the effect of family-centered kindred-like nursing combined with empowerment psychological nursing on prognosis of rheumatic heart disease patients after percutaneous balloon mitral valvuloplasty(PB⁃MV).Methods The clinical data of 88 patients with rheumatic heart disease and mitral stenosis(MS)who underwent PB⁃MV treatment in the hospital were retrospectively analyzed.42 cases in the control group were given routine nursing inter⁃vention and 46 cases in the observation group were given family-centered kindred-like nursing combined with empower⁃ment psychological nursing.The hemodynamics[mean arterial pressure(MAP),heart rate(HR)]0.5 h before surgery and 6 h after surgery,scores of negative emotions[Depression-Anxiety-Stress Scale 21(DASS-21)],psychological resilience[Connor-Davidson Psychological Resilience Scale(CD-RISC)]and hope level[Herth Hope Inventory(HHI)]at admission and discharge were compared between the two groups,and the occurrence of complications and recent prognosis[left atrial diameter(LAD),New York Heart Association(NYHA)]of the two groups were recorded.Results 6 h after surgery,the MAP and HR of the two groups were lower than those 0.5 h before surgery(P<0.05);the MAP and HR in observation group were lower than those in control group 0.5 h before surgery and 6 h after surgery(P<0.05).At discharge,there were no sig⁃nificant difference in the scores of DASS-21,CD-RISC and HHI in the control group compared with those at admission(P>0.05).The score of DASS-21 in the observation group at discharge were lower than those at admission(P<0.05),and the score in the observation were lower than those in the control group(P<0.05).The scores of CD-RISC and HHI in the obser⁃vation group at discharge were higher than those at admission(P<0.05),and the scores in the observation group were higher than those in the control group(P<0.05).6 months after discharge,the LAD and NYHA classifications of the two groups were higher than those at discharge(P<0.05),and the two indexes in con

关 键 词：二尖瓣狭窄 经皮二尖瓣球囊扩张术 亲情护理 赋能 心理 

分 类 号：R473[医药卫生—护理学]