基于ERAS理念的双心护理对冠状动脉搭桥术患者术后心理状态及生活质量的影响
Impact of dual heart care based on ERAS concept on the postoperative psychological status and quality of life of patients undergoing coronary artery bypass grafting surgery
刘姣 1温玉双 1陈淑媛 1隋爽蕊1
作者信息
- 1. 063210 河北省唐山市,华北理工大学护理与康复学院
- 折叠
摘要
目的 探讨基于ERAS理念的双心护理方案对冠脉搭桥患者术后心理状态及生活质量的影响.方法 选取2022年8月-2023年8月某医院心脏外科拟行冠状动脉旁路移植术的 60 例患者作为研究对象,按照患者入院次序,根据组间基线资料均衡可比的原则,采用单纯随机方法分组,奇数序号的患者为对照组,偶数序号的患者为观察组,每组各 30 例.对照组采用常规护理,观察组采用双心护理模式,对比两组患者干预前后心理状态及生活质量情况.结果 两组患者在性别、年龄、婚姻、学历、费用类型、吸烟、饮酒等基线资料进行比较,差异均无统计学意义(P＜0.05).干预前,两组患者焦虑自评量表(SAS)评分差异无统计意义(P＞0.05);干预后,观察组患者SAS评分低于对照组,差异有统计意义(P＜0.05).干预前,两组患者抑郁自评量表(SDS)评分差异无统计意义(P＞0.05);干预后,观察组患者SDS评分低于对照组,差异有统计意义(P＜0.05).干预前,两组患者生活质量各维度(体力、病情、医疗、一般生活、社会心理、工作、总分)比较,差异无统计学意义(P＞0.05);干预后,两组患者CQQC各个维度评分均有所提升,但除了一般生活状况外,其他各维度评分均为观察组高于对照组,差异有统计学意义(P＜0.05).结论 基于ERAS理念的双心护理方案可明显改善CABG患者的焦虑、抑郁等负性情绪,提高患者的生活质量.
Abstract
Objective To explore the impact of a dual heart nursing plan based on the ERAS concept on the postoperative psychological status and quality of life of patients undergoing coronary artery bypass grafting.Methods Sixty patients who underwent coronary artery bypass grafting in the cardiac surgery department of the hospital from August 2022 to August 2023 were selected as the study subjects.According to the admission order of patients and the principle of balanced and comparable baseline data between groups,a simple random method was used to group them,with odd numbered patients as the control group and even numbered patients as the observation group,with 30 patients in each group.The control group received routine care,while the observation group received dual heart care.The psychological status and quality of life of the two groups of patients before and after intervention were compared.Results There was no statistically significant difference(P＞0.05)between the two groups of patients in terms of baseline data such as gender,age,marriage,education level,expense type,smoking,and alcohol consumption.Before intervention,there was no statistically significant difference in the self rating anxiety scale(SAS)scores between the two groups of patients(P＞0.05);After intervention,the SAS score of the observation group was lower than that of the control group,and the difference was statistically significant(P＜0.05).Before intervention,there was no statistically significant difference in the self rating depression scale(SDS)scores between the two groups of patients(P＞0.05);After intervention,the SDS score of the observation group was lower than that of the control group,and the difference was statistically significant(P＜0.05).Before intervention,there was no statistically significant difference(P＞0.05)between the two groups of patients in terms of various dimensions of quality of life(physical strength,medical condition,general life,social psychology,work,total score);After intervention,the CQQC scores in all dimensions of the two groups of patients were improved,but except for general living conditions,the scores in all other dimensions were higher in the observation group than in the control group,and the difference was statistically significant(P＜0.05).Conclusion The dual heart care plan based on the ERAS concept can significantly improve negative emotions such as anxiety and depression in CABG patients,and improve their quality of life.
关键词
ERAS/双心护理/冠心病/生活质量/冠状动脉搭桥术Key words
ERAS/Two-heart nursing/Coronary heart disease/Quality of life/CABG引用本文复制引用
出版年
2024
NETL
NSTL
万方数据