摘要
目的:探究认知行为护理干预在主动脉A型夹层围手术期护理中的应用价值。方法:选取2017年3月-2020年12月北京大学深圳医院心血管外科收治的280例主动脉A型夹层手术患者,随机分为常规组和研究组,每组140例,分别予以常规护理和认知行为护理。比较两组围手术期心理状态、疼痛程度、心率、血压及并发症发生情况。结果:术后1 d,常规组的心率与干预前比较明显加快(P<0.05),而研究组与干预前比较,差异无统计学意义(P>0.05);两组术后收缩压、舒张压均较干预前降低,且研究组低于常规组,差异有统计学意义(P<0.05);两组术后1、3 d的视觉模拟评分法(VAS)评分均呈降低趋势(P<0.05),且研究组术后1、3 d的VAS评分均明显低于常规组(P<0.05);护理干预后,两组焦虑自评量表(SAS)评分均降低,心理弹性量表(CD-RISC)总评分均增高(P<0.05),且研究组SAS评分低于常规组,CD-RISC总评分高于常规组,差异有统计学意义(P<0.05);研究组术后并发症发生率为5.71%,与常规组的10.00%比较,差异无统计学意义(χ^(2)=0.413,P>0.05)。结论:认知行为护理干预可提升主动脉A型夹层患者心理弹性水平,改善围手术期不良情绪,减轻患者术后疼痛症状,并利于血压和心率的稳定。
Objective:To study the application value of cognitive behavioral nursing intervention in the perioperative nursing of aortic type A dissection.Method:A total of 280 patients undergoing aortic type A dissection who were admitted to the Department of Cardiovascular Surgery,Peking University Shenzhen Hospital from March 2017 to December 2020 were selected and randomly divided into the routine group and the study group,with 140 cases in each group receiving routine nursing intervention and cognitive behavioral nursing intervention,respectively.The perioperative psychological state,pain severity,heart rate,blood pressure,and complications were compared between the two groups.Result:On the 1 st day after operation,the heart rate of the routine group was significantly faster than that before the intervention(P<0.05),while the difference between the study group and before the intervention was not statistically significant(P>0.05).Compared with before intervention,the research group was lower than the routine group,and the difference was statistically significant(P<0.05).The visual analogue scale(VAS)scores of the two groups tended to decrease on the 1 st and 3 rd day after operation(P<0.05),and the VAS scores of the study group on the 1st and 3rd day after operation were significantly lower than those of the routine group(P<0.05).After the nursing intervention,the self-rating anxiety scale(SAS)scores were decreased in both groups,and the total psychological resilience scale(CD-ISC)scores were increased(P<0.05).Besides,the SAS scores in the study group was lower than that in the routine group,and the total CD-ISC scores was higher than that in the routine group,with a statistically significant difference(P<0.05).The incidence of postoperative complications was 5.71%in the study group,and compared with 10.00%in the routine group,there was no significant difference(χ^(2)=0.413,P>0.05).Conclusion:Cognitive behavioral nursing intervention can improve the psychological elasticity of patients with aortic type A dissection,improve perioperative bad mood,reduce postoperative pain symptoms,and help stabilize blood pressure and heart rate.
作者
金晶
陈周珍
何波
丘汉彬
JIN Jing;CHEN Zhouzhen;HE Bo;QIU Hanbin(Peking University Shenzhen Hospital,Shenzhen 518000,China;不详)
出处
《中外医学研究》
2022年第11期113-116,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
认知行为干预
主动脉A型夹层
不良情绪
疼痛症状
护理
Cognitive behavior intervention
Aortic type A dissection
Bad mood
Pain symptoms
Nursing
