心脏大血管外科术后诱发精神症状的预见性护理研究  

The influencing factors and predictive nursing care of mental symptoms after cardiac and vascular surgery

作　　者：王莉[1] WANG Li(The First Affiliated Hospital of USTC,Hefei 23000l,Anhui)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院),安徽合肥230001

出　　处：《安徽医专学报》2024年第1期78-80,83,共4页Journal of Anhui Medical College

摘　　要：目的:探讨针对心脏大血管外科术后患者诱发精神症状因素的预见性护理措施。方法:抽取医院收治的60例心脏大血管外科手术患者作为研究对象,随机分为两组,对照组30例患者施以常规护理,观察组30例患者首先分析诱导精神症状出现的危险因素,并施以预见性护理。结果:观察组患者术后24h、术后72h、术后1周时精神障碍发生率均低于对照组(P<0.05)。两组患者在施以干预后,精神症状评分均降低,日常生活能力评分均上升,观察组更为突出(P<0.05)。观察组患者干预后负性评分低于对照组(P<0.05)。观察组患者自我管理能力、生活质量评分均高于对照组(P<0.05)。结论:针对诱导心脏大血管外科手术患者术后精神症状发生的影响因素展开护理干预,可降低患者精神障碍发生率,改善精神症状及日常生活能力,缓解负性情绪,提高自我护理能力,增强生活质量。Objective:To explore the factors and predictive nursing measures that induce psychological symptoms in patients undergoing cardiac and vascular surgery.Method:A total of 60 cases from hospital were randomly divided into a control group of 30 cases receiving routine care,and an observation group of 30 cases receiving predictive care to analyze the risk factors for inducing psychiatric symptoms.Result:After observing the incidence of mental disorders at 24 hours,72 hours,and I week after surgery in the observation group.they were all at lower levels compared to the control group(P<0.05).After intervention,both groups showed a decrease in their mental symptoms and an increase in their daily living abilities,with the observation group being more prominent(P<0.05).The observation group had a lower level of negative grouping after intervention(P<0.05).The observation group had higher levels of self-management ability and quality of life(P<0.05).Conclusion:Intervention targeting the influencing factors of postoperative mental symptoms in patients undergoing cardiac and vascular surgery can reduce the rate of mental disorders,improve mental symptoms and daily living activities,alleviate negative emotions,improve self-care ability,and enhance quality of life.

关 键 词：心脏大血管外科手术 精神症状 影响因素 护理 

分 类 号：R473.54[医药卫生—护理学]