激励式心理联合早期康复运动对主动脉夹层术后患者的影响  

Effect of Motivational Psychology Combined with Early Rehabilitation Exercise on Patients with Aortic Dissection after Operation

作　　者：罗丽琴 LUO Liqin(Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430040,China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430040

出　　处：《中外医学研究》2024年第26期98-102,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨激励式心理联合早期康复运动对主动脉夹层术后患者的影响。方法:采用便利抽样法选取2022年6—12月就诊于华中科技大学同济医学院附属同济医院心脏大血管外科的70例患者作为研究对象,采用随机数表法将其分为观察组(n=35)和对照组(n=35)。对照组给予常规护理,观察组在对照组基础上给予激励式心理联合早期康复运动。比较两组干预前后心理状态、应对方式和自我效能,比较两组术后恢复情况和并发症发生情况。结果:干预后,两组抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、回避、屈服评分降低,且观察组更低,两组面对、正性态度、自我减压、自我决策评分升高,且观察组更高,差异有统计学意义(P<0.05);观察组气管插管留置时间、入住ICU时间较对照组短,并发症总发生率较对照组低,差异有统计学意义(P<0.05)。结论:激励式心理联合早期康复运动可改善主动脉夹层术后患者的心理状态,使其积极应对疾病,提高自我管理效能,减少并发症,促进术后康复。Objective:To explore the effect of motivational psychology combined with early rehabilitation exercise on patients with aortic dissection after operation.Method:A total of 70 patients who treated in the Department of Cardiovascular Surgery of Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from June to December 2022 were selected as the research objects by convenience sampling method,they were divided into the observation group(n=35)and the control group(n=35)by random number table method.The control group was given routine nursing,the observation group was given motivational psychology combined with early rehabilitation exercise on the basis of the control group.The psychological state,coping style and self-efficacy before and after intervention were compared between two groups,and the postoperative recovery and complications were compared between two groups.Result:After intervention,the scores of self-rating depression scale(SDS),self-rating anxiety scale(SAS),avoidance and yield in two groups were decreased,and those in the observation group were lower,the scores of confrontation,positive attitude,self-decompression,self-decision in the two groups were increased,and those in the observation group were higher,the differences were statistically significant(P<0.05);the indwelling time of tracheal intubation and ICU stay in the observation group were shorter than those in the control group,and the total incidence of complications was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Motivational psychology combined with early rehabilitation exercise can improve the psychological state of patients with aortic dissection after operation,make them actively respond to disease,improve self-management efficiency,reduce complications,and promote postoperative rehabilitation.

关 键 词：激励式心理 早期康复运动 主动脉夹层 术后 康复护理 

分 类 号：R473.6[医药卫生—护理学]