海南医科大学学报

目的:探讨心理干预对胸心外科手术患者术后焦虑的影响。方法:54例胸心外科择期手术患者随机分为两组:常规护理组(27例)给予常规护理及访视;心理护理组(27例)在常规护理的基础上给予有针对性的心理护理,包括建立干预基础、认知干预、情绪干预、行为干预和家庭与社会支持,必要时请心理咨询师辅导,比较两组术后清醒和术后15 d的焦虑(分)值、血压及心率变化。结果:焦虑(分)值:术后清醒两组差异无统计学意义(P>0.05);术后15 d心理护理组明显低于常规护理组(P<0.01)。收缩压、舒张压及心率:术后清醒两组差异无统计学意义(P>0.05);术后15 d心理护理组明显低于常规护理组(P<0.05)。结论:心理护理可有效缓解胸心外科手术患者术后焦虑,有助于患者身心健康的恢复,值得在临床护理中推荐。

Objective: To explore effect of mental nursing on dysphoria of patients with cardiothoracic surgery.Methods: A total of 54 cases with cardiothoracic surgery were randomly divided into conventional group and mental intervention group by half.Patients in conventional group were treated by conventional nursing,while patients in mental intervention group were treated by mental nursing,including basic intervention,cognition intervention,emotional intervention,behavior intervention,family and society support,psychological consult if necessary.Anxiety score,blood pressure and heart rate were recorded and compared.Results: There was no significant difference in anxiety score,blood pressure or heart rate between two groups after surgery(P>0.05).The score blood pressure and heart rate were significant lower in mental nursing group 15 d after surgery(P<0.01).But there was significant difference in blood pressure and heart rate between two groups 15 d after surgery(P<0.05).Conclusions: Mental nursing can effectively relief anxiety of patients with cardiothoracic surgery.It is helpful in patients' recovery,and is worthy clinical application.