"扮亲法"陪护联合思维导图在老年冠心病心脏搭桥手术患者围术期的应用  

The perioperative application of"pretending to be a family member"care and mind mapping in elderly patients with coronary heart bypass surgery

作　　者：郑飞 张春燕[2] 许娟[1] Zheng Fei;Zhang Chunyan;Xu Juan(Operation Department,Anyang People's Hospital,Anyang 455000,China;Nursing Department,Anyang People's Hospital,Anyang 455000,China)

机构地区：[1]安阳市人民医院手术部,安阳455000 [2]安阳市人民医院护理部,安阳455000

出　　处：《国际护理学杂志》2024年第12期2196-2201,共6页international journal of nursing

摘　　要：目的分析"扮亲法"陪护联合思维导图在老年冠心病心脏搭桥手术患者围术期的应用价值。方法选取2020年6月至2022年1月于安阳市人民医院就诊的老年冠心病拟行心脏搭桥手术患者88例,按随机数字表法将88例患者分为对照组和观察组,各44例。对照组采取常规护理,观察组采取"扮亲法"陪护联合思维导图进行干预。比较两组术中及术后情况、干预前后心理应激、干预后疾病感知及生活质量水平。结果观察组拔管时间、ICU监护时间、呼吸机辅助时间、住院时间均少于对照组,差异均有统计学意义(均P<0.05),而两组手术时间比较差异无统计学意义(t=1.677,P=0.097);干预后,两组汉密顿焦虑量表(Hamilton Anxiety Scale,HAMA)和汉密顿抑郁量表(Hamilton Depression Scale,HAMD)评分明显减少,观察组少于对照组,差异均有统计学意义(均P<0.05),观察组认知表征、情绪表征、疾病理解能力评分及总分少于对照组,差异均有统计学意义(均P<0.05),两组生理功能、生理职能、情感职能、活力、总体健康及精神健康评分较干预前均升高,差异均有统计学意义(均P<0.05),且观察组生理功能、生理职能、活力、总体健康评分均高于对照组,差异均有统计学意义(均P<0.05)。结论"扮亲法"陪护联合思维导图对老年冠心病心脏搭桥手术患者在围术期应用,能缩短住院时间,缓解焦虑、抑郁情绪,改善患者的疾病感知,提高其生活质量。Objective To analyze the application value of"pretending to be a family member"care combined with mind mapping in the perioperative period of elderly patients with coronary heart bypass surgery.Methods A total of 88 elderly patients with coronary heart disease intending to undergo bypass surgery were selected from June 2020 to January 2022,and 88 patients were divided into control group and observation group according to random number table method,with 44 patients in each group.The control group was treated with routine nursing,and the observation group was treated with"pretending to be a family member"care and mind mapping.The intraoperative and postoperative conditions,psychological stress before and after intervention,disease perception and life quality of the two groups were compared.Results The duration of extubation,ICU monitoring,ventilator assistance and hospital stay in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).There was no significant difference in operation time between the two groups(t=1.677,P=0.097).After intervention,the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)in two groups were significantly reduced,and the observation group was less than the control group,and the differences were statistically significant(P<0.05).Cognitive representation,emotional representation,disease understanding scores and total scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The scores of physical function,role physical,emotional function,vitality,general health and mental health in 2 groups were higher than before intervention,and the differences were statistically significant(P<0.05),and the scores of physical function,role physical,vitality and general health in observation group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusions The perioperative application of"pretending

关 键 词：冠心病 心脏搭桥手术 老年 围术期 

分 类 号：R473.6[医药卫生—护理学]