目的 调查动脉硬化闭塞症介入术后患者心理应激状态，分析其相关影响因素，为术后康复护理计划提供科学依据。 方法 选取苏州市立医院本部在2018年1月至2022年10月期间血管外科接收的90例动脉硬化闭塞症介入治疗术后患者作为观察对象。根据心理应激程度将其分为心理应激障碍组和正常组各45例，使用一般资料调查表、症状自评量表(SCL-90)、急性生理学及慢性健康状况评分系统(APACHE)Ⅱ、家庭关怀度指数问卷(APGAR)、匹兹堡睡眠质量指数量表(PSQI)等，对其进行单因素分析、Logistic多因素分析。 结果 90例动脉硬化闭塞症介入术后患者平均年龄(65。38±3。44)岁、性别男65例、女25例，手术时长(110。42±5。35)min、SCL-90得分≤160分45例，>160分45例；匹兹堡睡眠质量指数量表(PSQI)、家庭关怀度(APGAR)、疾病知晓是动脉硬化闭塞症介入术后患者心理应激障碍的相关因素(P<0。05)。Logistic回归分析结果显示，疾病知晓差、睡眠质量低、家庭关怀度不足等均为动脉闭塞症介入治疗术后患者发生心理应激障碍的独立危险因素(P<0。05)。 结论 动脉硬化闭塞症介入术后患者心理应激障碍发生率较高，其中无术前健康教育、睡眠障碍、家庭关怀度不足等为独立危险因素，护理人员需对其开展健康知识教育、睡眠管理及家庭支持等干预，减轻心理应激障碍水平。 Objective To investigate the psychological stress status of patients with arteriosclerosis obliterans after interventional therapy， analyze its related influencing factors， and provide scientific basis for postoperative rehabilitation nursing plan。 Methods A total of 90 patients with arteriosclerosis obliterans who received interventional therapy in the department of vascular surgery of Suzhou Municipal Hospital from January 2018 to October 2022 were selected as the observation objects。According to the degree of psychological stress， they were divided into psychological stress disorder group and normal group， with 45 cases in each group。General Information Questionnaire， Symptom Check List-90 (SCL-90)， Acute Physiology And Chronic Health Evaluation (APACHEⅡ)， Adaptation-Partnership-Growth-Affection-Resolve (APGAR) and Pittsburgh Sleep Quality Index (PSQI) were used。 Univariate analysis and Logistic multivariate analysis were performed。 Results The average age of the 90 patients with interventional arteriosclerosis occlusive disease was (65。38±3。44) years old， and there were 65 males and 25 females。 The operation duration was (110。42±5。35) minutes。There were 45 cases with SCL-90 score less than or equal to 160， and 45 cases with SCL-90 score greater than 160。PSQI， APGAR and disease awareness were the correlative factors of psychological stress disorder in patients with interventional arteriosclerosis obliterans(P<0。05)。 Logistic regression analysis showed that poor awareness of disease， poor sleep quality and insufficient family care were independent risk factors for psychological stress disorder in patients with arterial occlusive disease after interventional therapy(P<0。05)。 Conclusions The incidence of psychological stress disorder in patients with arteriosclerosis obliterans after interventional therapy is high， among which there is no preoperative health education， sleep disorder and insufficient family care are the independent risk factors。 Nurses need to carry out health knowledge education， sleep management and family support intervention to reduce the level of psychological stress disorder。
Influencing factors and nursing countermeasures of psychological stress in patients with arteriosclerotic occlusive disease after interventional operation
Objective To investigate the psychological stress status of patients with arteriosclerosis obliterans after interventional therapy, analyze its related influencing factors, and provide scientific basis for postoperative rehabilitation nursing plan. Methods A total of 90 patients with arteriosclerosis obliterans who received interventional therapy in the department of vascular surgery of Suzhou Municipal Hospital from January 2018 to October 2022 were selected as the observation objects.According to the degree of psychological stress, they were divided into psychological stress disorder group and normal group, with 45 cases in each group.General Information Questionnaire, Symptom Check List-90 (SCL-90), Acute Physiology And Chronic Health Evaluation (APACHEⅡ), Adaptation-Partnership-Growth-Affection-Resolve (APGAR) and Pittsburgh Sleep Quality Index (PSQI) were used. Univariate analysis and Logistic multivariate analysis were performed. Results The average age of the 90 patients with interventional arteriosclerosis occlusive disease was (65.38±3.44) years old, and there were 65 males and 25 females. The operation duration was (110.42±5.35) minutes.There were 45 cases with SCL-90 score less than or equal to 160, and 45 cases with SCL-90 score greater than 160.PSQI, APGAR and disease awareness were the correlative factors of psychological stress disorder in patients with interventional arteriosclerosis obliterans(P<0.05). Logistic regression analysis showed that poor awareness of disease, poor sleep quality and insufficient family care were independent risk factors for psychological stress disorder in patients with arterial occlusive disease after interventional therapy(P<0.05). Conclusions The incidence of psychological stress disorder in patients with arteriosclerosis obliterans after interventional therapy is high, among which there is no preoperative health education, sleep disorder and insufficient family care are the independent risk factors. Nurses need to carry out health knowledge education, sleep management and family support intervention to reduce the level of psychological stress disorder.
Arteriosclerotic obliteransInterventional surgeryPsychological stressHealth educationSleep managementFamily support
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