摘要
目的 了解心外科患者术后焦虑情绪的发生情况,分析相关影响因素.方法 选择在河南省胸科医院接受手术治疗的436例心外科患者作为研究对象,于术后第3天进行焦虑自评量表评价,对相关指标进行单因素比较,并通过logis-tic 回归分析确定焦虑危险因素.结果 术后第3天,165例患者存在焦虑情绪,发生率为37.84％.焦虑情绪组和非焦虑情绪组患者年龄、配偶情况、受教育程度、家庭月收入、长期居住地、疾病病程、手术类型、手术持续时间、术后视觉模拟评分法评分、术后清醒时间和气管插管拔除时间等差异有统计学意义(P＜0.05).logistic回归分析显示,无配偶、家庭月收入＜6 000元、手术持续时间≥6 h以及气管插管拔除时间长为心外科术后患者焦虑的独立危险因素(P＜0.05).结论 心外科患者术后焦虑情绪的发生率较高,其独立危险因素包括无配偶、家庭月收入＜6 000元、手术持续时间≥6 h以及气管插管拔除时间长等,医护人员应做好患者围手术期间的心理因素评估,积极保护患者的身心健康.
Abstract
Objective To survey the occurrence of postoperative anxiety in patients with cardiac surgery,and analyze related influencing factors.Methods A total of 436 patients undergoing cardiac surgery in Henan Chest Hospital were selected as the study subjects.At the 3rd day after surgery,all subjects were evaluated by self-rating anxiety scale.Single factor comparison was conducted for related indicators,and risk factors were determined by logistic regression.Results At the 3rd day after surgery,165 patients had anxiety,with an incidence of 37.84％.There were statistically differences in age,spouse status,education level,monthly family income,long-term residence,disease course,surgical type,surgical duration,postoperative visual analogue scale score,postoperative wakefulness time,and tracheal intubation removal time between the anxiety and non anxiety groups of patients(P＜0.05).Logistic regression analysis showed that having no spouse,a monthly family income of less than 6 000 yuan,a surgical duration of≥6 hours,and a long time for tracheal intubation removal were independent risk factors for anxiety in patients undergoing cardiac surgery(P＜0.05).Conclusion The incidence of postoperative anxiety in patients with cardiac surgery was high,and the independent risk factors include no spouse,family monthly income＜6 000 yuan,surgery duration ≥6 hours and long tracheal intubation extraction time.Medical staff should assess the psychological factors of patients during perioperative and actively protect the physical and mental health of patients.
维普
万方数据