术前护理干预对于心脏外科手术病人焦虑和抑郁状态的影响.docVIP

精品论文 参考文献 术前护理干预对于心脏外科手术病人焦虑和抑郁状态的影响 田月强 刘 俊 田 兵 孙 莹 吴慕琳 韩学美 鲍莲华通讯作者 　　中国人民解放军总医院 北京 100853 　　【摘 要】目的：探讨术前护理干预对心脏病手术患者焦虑和抑郁状态的影响。方法：选取手术患者153例,将患者随机分为试验组(n=76)和对照组(n=77)。对照组给予常规的护理干预,而观察组在对照组的基础上给予个性化的护理干预,包括宣教手册和口头交流等。所有指标分别在分组前和术后7天测量。观察指标包括焦虑和抑郁评分，ICU时间、术后住院天数。焦虑和抑郁评分通过医院焦虑抑郁量表评定。结果：153例患者中有135例患者完成了试验，试验组的焦虑评分（-3.6分，95%可信区间=-4.62-2.57，Plt;0.001)和抑郁评分（-2.1分，95% 可信区间=-3.19 to-0.92；Plt;0.001)明显降低，而ICU时间(P=0.05)和术后住院天数(P=0.17)，两组没有统计学差异。结论：术前护理干预能够有效地改善接受心脏外科手术的患者的焦虑和抑郁，其应该被纳入到常规的心脏外科术前准备。 　　【关键词】术前护理干预；焦虑；抑郁 　　【中图分类号】R473 【文献标识码】B 【文章编号】1674-8999（2015）8-0119-02 　　Influence of preoperative nursing intervention designed for cardiac patients on anxiety and depression 　　Tian yue-qiang，Liu Jun，Tian Bing，Sun Ying，Wu mu-lin，Han xue-mei，Bao lian-hua* 　　(General Hospital of PLA，BeiJing 100853) 　　【Abstract】Objective:To probe into influence of preoperative nursing intervention designed for cardiac patients on anxiety and depression.Methods:Patients in control group(n=77)received conventional nursing.Patients in experiment group(n=76)received systematic nursing intervention.Experiment groupcomprising usualcare plus an information leaflet and verbal advice.Measurement was conducted beforerandomization and at seven days following surgery.The primary outcome was change inanxiety and depression measured by the Hospital Anxiety and Depression Scale(HADS),length of Intensive Care Unit stay andpostoperative hospital stay.Results:Of 153 participants randomized,135(88.2%)completed the trial.Participantswho received preoperative education experienced a greater decrease in anxiety score(mean difference-3.6 points, 95% CI-4.62 to-2.57;Plt;0.001) and agreater decrease in depression score (mean difference -2.1 points,95% CI-3.19 to-0.92;Plt;0.001) compared with those who did not.There wassome evidence to suggest a reduced number of hours spent in the Intensive Care Unitamong preoperative education patients(P=0.05)but no difference in length ofpostoperative hospital stay(P