心脏手术患者围术期心理状态的研究分析.docVIP

心脏手术患者围术期心理状态的研究分析 　　[摘要]目的 探讨心脏手术患者围术期心理状态及其相应的护理对策。方法 对来该医院诊断、治疗的153例心脏手术患者相关资料进行分析，研究中采用该院自拟问卷调查表对患者围术期心理状态进行调查，并采用手术患者心理状态评定量表、焦虑自评量表（SAS）以及抑郁自评量表（SDS）进行评定，并对心脏手术围术期患者采取有效措施加强心理干预。结果 153例患者中126例围术期伴有紧张、恐惧等心理，占82.9%；118例患者围术期伴有担忧焦虑等心理，占77.6%；96例患者围术期伴有自卑抑郁等心理，占63.2%；心脏手术患 评分为（4.34±1.01）分、SAS评分为（4.09±0.07）分（P0.05）。结论 心脏手术在临床上比较常见，患者围术期心理波动较大，应该采取积极有效的方法加强患者心理疏导，帮助患者调整状态，提高临床治疗效果。 　　[关键词]心脏手术；围术期；心理状态；护理对策 　　[中图分类号]R47 [文献标识码]A [文章编号]1674-0742（2015）03（c）-0040-03 　　[Abstract] Objective To investigate the perioperative cardiac surgery patients and their corresponding mental state nursing.Methods The author hospital to diagnose cardiac surgery treatment of 153 cases of patient-related data were analyzed using the study in our hospital since the proposed questionnaire for patients undergoing psychological state around the investigation and the status of surgical patients using psychological assessment scale， self-Rating Anxiety scale （SAS） and self-Rating Depression scale （SDS） were assessed， and to take effective measures to patients undergoing cardiac surgery patients to strengthen the psychological intervention.Results 153 cases of the 126 cases of patients with perioperative stress， fear and other psychological， accounting for 82.9%； 118 patients with perioperative anxiety and other psychological concerns， accounting for 77.6%； 96 cases of patients with depression and low self-esteem associated with perioperative such as psychology， accounting 63.2%； after cardiac surgery intervention SDS score was （1.58 ± 0.29） points， SAS score was （1.89 ±0.72） points lower than before intervention （SDS score was （4.34±1.01） points， SAS rated （4.09±0.07） min） （P 0.05）.Conclusions Cardiac surgery is more common in clinical practice， patients with perioperative psychological fluctuations， should take positive and effective way to strengthen the patient psychological counseling to help patients adjust status， improve clinical outcomes. 　　[Key words] Cardiac surgery； Perioperat