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

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 [□月强刘 俊[□兵 孙 莹 吴慕琳韩学美鲍莲华通讯 屮国人民解放军总医院 北京100853 【摘 要】冃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)o 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例患者屮有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二0.05)和术后住院天数 (P二0.17),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 R473 B 【11674-8999 (2015 ) 8-0119-02 In flue nee of preoperative n ursi ng in terve ntion desig ned 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 in flue nee of preoperative nursing intervention designed for cardiac patients on anxiety and depression.Methods:Patients in control group（n二77）received conventional nursing.Patients in experiment group(n=76)received systematic nursing intervention.Experiment groupcomprising usualcare plus an information leaflet and verbal advice.Measureme nt was con ducted beforera ndomizati on and at seve n days following surgery.The primary outcome was cha nge in anxiety and depressi on 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 experieneed 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 evidenee to suggest a reduced number of hours spent in the Intensive Care Unitamong preoperative education patients(P=0?05)but no d iff ere nee in length ofpostoperative hospital stay(P=0.17).Conclusi on s:This form o