多元化健康教育对经桡动脉冠状动脉介入术后患者舒适度的影响  

Effect of Diversified Health Education on Patient Comfort After Transradial Coronary Intervention

作　　者：李冰华 韦静 罗倩芸 李春燕 Li Binghua;WeiJing;Luo Qianyun(The First People’s Hospital of Nannning,Nanning,Guangxi,530022,China)

机构地区：[1]南宁市第一人民医院,广西南宁530022

出　　处：《黑龙江医学》2024年第5期601-603,共3页Heilongjiang Medical Journal

基　　金：2017年南宁市科学研究与技术开发计划课题(ZS20170083)。

摘　　要：目的:研究多元化健康教育对经桡动脉冠状动脉介入术(TRI)后患者舒适度的影响。方法:选取2019年1—10月南宁市第一人民医院收治的152例经桡动脉冠状动脉介入术后患者作为研究对象,按入院时间顺序将2019年1—5月收治的75例患者作为对照组,采用常规护理、常规健康教育模式;将2019年6—10月收治的75例患者作为观察组,在常规护理基础上,采用多元化健康教育模式。比较两组患者焦虑、抑郁、握力锻炼依从性以及肢体肿胀、疼痛、渗血程度,判断患者舒适度情况。结果:干预前,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分相比较,差异无统计学意义(t=-0.096、-0.637,P>0.05);干预后,观察组SAS、SDS评分显著低于对照组,差异有统计学意义(t=-5.923、-5.286,P<0.05)。干预后,观察组握力锻炼依从性程度比对照组高,差异有统计学意义(Z=-5.719,P<0.05)。观察组术后4 h、24 h肢体肿胀、疼痛程度轻于对照组,差异有统计学意义(Z=-3.134、-3.138,P<0.05;Z=-4.810、-4.735,P<0.05)。两组患者术后穿刺口渗血程度相比较,差异无统计学意义(Z=-0.679,P>0.05)。结论:多元化健康教育可减轻患者焦虑、抑郁,提高经桡动脉冠状动脉介入术后握力锻炼依从性,减轻术肢肿胀、疼痛,提高舒适度。Objective:To study the effect of diversified health education on patient comfort after transradial coronary intervention(TRI).Methods:152 patients admitted to the hospital from January to October 2019 after transradial coronary intervention were selected as the study subjects,75 patients admitted from January to May 2019 in chronological order of admission were the control group,and conventional nursing care and routine health education mode were used,and 75 patients admitted from June to October 2019 were the observation group,and a diversified health education mode was used on the basis of conventional nursing care.The impact of patient comfort was determined by comparing the two groups of patients in terms of anxiety,depression,grip exercise compliance,and the degree of limb swelling,pain,and blood oozing.Results:Before the intervention,the scores of anxiety self-assessment scale(SAS)and depression self-assessment scale(SDS)were compared between the two groups,and the difference was not statistically significant(t=-0.096,-0.637,P>0.05).After the intervention,the SAS and SDS scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(t=-5.923,-5.286;P<0.05).After the intervention,the degree of adherence to grip exercise was higher in the observation group than in the control group,and the difference was statistically significant(Z=-5.719,P<0.05).The degree of limb swelling and pain in the observation group was lighter than that in the control group at 4 h and 24 h postoperatively,and the difference was statistically significant(Z=-3.134,-3.138,P<0.05;Z=-4.810,-4.735,P<0.05).There was no statistically significant difference between the two groups when comparing the degree of postoperative blood oozing from the puncture port(Z=-0.679,P>0.05).Conclusion:Diversified health education reduces patient anxiety and depression,improves adherence to grip strength exercises after transradial coronary intervention,reduces swelling and pain in the

关 键 词：多元化健康教育 舒适度 经桡动脉冠状动脉介入术 

分 类 号：R47[医药卫生—护理学]