桡动脉途径冠脉介入术心理干预的临床研究

Influence of Psychological Intervention to the Patients with Radial Artery Spasm after Interventional Therapy of Coronary Artery by Transradial Approach

目的研究焦虑及心理干预对经桡动脉穿刺行冠脉介入诊疗的患者桡动脉痉挛的影响。方法将两年来在我院行冠脉造影及冠脉治疗的患者510例随机分为心理干预组及常规护理组,各255例,所有患者在术前均应用汉密尔顿焦虑量表进行心理评估。心理干预组的患者若有焦虑表现,则进行心理干预,常规护理组的患者更重视诊治和护理操作,不过分注重心理护理。结果有焦虑情绪的患者桡动脉痉挛发生率明显高于无焦虑的患者(P<0.05)。且焦虑评分高的患者桡动脉痉挛发生率高于低评分者(P<0.05),有焦虑的患者经心理干预后桡动脉痉挛发生率明显下降(P<0.05)。结论焦虑情绪是桡动脉痉挛的重要发病原因之一,心理干预可降低焦虑患者的桡动脉痉挛发生率。

Objective: To study the influence of anxiety and psychological intervention to the patients with radial artery convulsion after being given interventional the rapyofcor onaryartery by transradial approach.Methods: 510 patients,who were given coronaryar teriograph yorinterventional therapy of coronaryartery in our department within two years,were randomly divided into two equal groups.One was psychological nursing intervention group;the other was routine nursing group.All the patients had psychological testwith Hamilton Anxiety Scalebe fore the operations.The patients in intervention group would receive psychological nursing intervention if they had anxiety,but the patients in the controlled group wouldn’t.Results:the incidence of radialartery convulsion is measurably higher in patients with anxiety than in patients without anxiety(p&lt;0.05).The higher the score that the patients got in the psychological test,the higher the incidence of radial artery convulsion(p&lt;0.05).The incidence of radialartery convulsion would significantly decrease in the patients with anxiety afterpsy chological nursing intervention(p&lt;0.05).Conclusion:the anxiety maybeone of the most important factors of radial artery convulsion.Psychological intervention may decrease the incidence of radial artery convulsion.