术前适应性训练对经皮冠状动脉支架植入术患者焦虑、抑郁和舒适度的影响  

Effect of preoperative adaptive training on anxiety,depression and comfort in patients undergoing percutaneous coronary intervention

作　　者：桂敏 徐艳秋 张莉莉 户学敏 Gui Min;Xu Yanqiu;Zhang Lili;Hu Xuemin(The First People’s Hospital of Suzhou,Suzhou 234000,Anhui Province,China)

机构地区：[1]宿州市第一人民医院,安徽宿州234000

出　　处：《现代临床护理》2024年第10期51-56,共6页Modern Clinical Nursing

基　　金：2023年度安徽省高校自然科学研究项目,编号为2023AH053127。

摘　　要：目的探讨术前适应性训练对经皮冠状动脉支架植入术(percutaneous coronary stent implantation,PCI)患者焦虑、抑郁及舒适度的影响。方法选取2022年6月至2023年5月本院收治的90例PCI患者作为研究对象,其中2022年6月至12月收治的45例PCI患者设为对照组,2023年1月至5月收治的45例设为观察组。对照组患者实施常规护理,观察组患者在对照组的基础上接受术前适应性训练。比较两组患者负性情绪(焦虑、抑郁)、舒适度、术后恢复情况及护理满意度。结果入院时,两组患者焦虑、抑郁评分比较,差异无统计学意义(均P>0.05);入导管室前,观察组患者焦虑、抑郁评分均低于对照组,观察组患者术后24h、72h舒适度评分高于对照组,术后下床活动时间短于对照组,护理满意度高于对照组,差异具有统计学意义(均P<0.05)。结论对PCI患者实施术前适应性训练,可有效缓解其术前焦虑、抑郁情绪,提高患者术后舒适度,缩短患者术后下床活动时间,有利于患者恢复和提高患者护理满意度。Objective To explore the effect of preoperative adaptive training on anxiety,depression and comfort in patients undergoing percutaneous coronary intervention(PCI).Methods A total of 90 patients undergoing PCI admitted to our hospital from June 2022 to May 2023 were selected as the study objects,to whom 45 admitted from June 2022 to December 2022 were assigned as the control group and 45 admitted from January 2023 to May 2023 were assigned as the observation group.The control group received only routine nursing care,but the observation group received preoperative adaptive training in addition to routine nursing care.The two groups were compared in terms of emotional status(anxiety and depression),comfort,postoperative recovery and satisfaction.Results The two groups showed no differences in the scores of anxiety and depression at admission(both P<0.05).Before entering the catheterisation room,the observation group exhibited significantly lower scores of anxiety and depression(both P<0.05).Moreover,the observation group showed significantly higher scores of comfort at 24 and 72 hours after surgery,significantly shorter time of ambulation and significantly higher satisfaction with nursing care while compared with those in the control group(all P<0.05).Conclusion Preoperative adaptive training provides PCI patients with an effectively alleviated preoperative anxiety and depression,improves postoperative comfort,shortens postoperative time of ambulation and enhances the satisfaction with nursing care.

关 键 词：术前适应性训练 经皮冠状动脉支架植入术 焦虑 抑郁 舒适度 

分 类 号：R473.6[医药卫生—护理学]