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作 者:曹一明 Cao Yiming(Tianjin Chest Hospital,Tianjin 300051,China)
机构地区:[1]天津市胸科医院,天津300051
出 处:《首都食品与医药》2025年第9期112-115,共4页Capital Food Medicine
摘 要:目的 调查冠状动脉旁路移植术(Coronary Artery Bypass Grafting,CABG)患者环境压力源感知程度现状并分析其影响因素。方法 采用方便抽样法选取2023年1月-2024年1月于天津市胸科医院接受CABG的126例冠心病患者,在患者清醒后,采用一般资料调查表、ICU环境压力源量表(ICUESS)、匹兹堡睡眠质量指数量表(PSQI)、汉密尔顿焦虑量表(HAMA)进行调查。采用多元线性回归分析CABG患者环境压力源感知程度的影响因素。结果 126例患者的ICUESS评分为(95.01±16.10)分,排在前三位的压力源分别是想念家人、没有自主性、带有口或鼻腔插管。多元线性回归分析显示,性别、家庭人均月收入水平、PSQI评分、HAMA评分是CABG患者对环境压力源感知程度的影响因素(P<0.001)。结论 行CABG的患者对环境压力源感知的程度较低,护理管理者应该结合其性别、家庭人均月收入制定个性化干预措施,降低患者对环境压力源的感知程度。Objective To investigate the current status of environmental stressor perception in patients undergoing coronary artery bypass grafting(CABG)and analyze its influencing factors.Methods Convenient sampling was used to select 126 patients with coronary heart disease who underwent CABG at Tianjin Chest Hospital from January 2023 to January 2024.After the patients regained consciousness,a general information survey,ICU Environmental Stressors Scale(ICUESS),Pittsburgh Sleep Quality Index(PSQI),and Hamilton Anxiety Scale(HAMA)were used for investigation.Using multiple linear regression analysis to investigate the influencing factors of perceived environmental stressors in CABG patients.Results The ICUES score of 126 patients was(95.01±16.10)points,and the top three stressors were missing family members,and lack of autonomy,with oral or nasal intubation.Multiple linear regression analysis showed that gender,per capita monthly household income level,PSQI score,and HAMA score were the influencing factors of CABG patients’perception of environmental stressors(P<0.001).Conclusion Patients undergoing CABG have a lower perception of environmental stressors.Nursing managers should develop personalized intervention measures based on their gender and average monthly household income to reduce patients’perception of environmental stressors.
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