心脏手术后患者心理压力的应对策略分析(英文)

Coping strategies for psychological pressure in patients after open-heart surgery

背景:心脏手术后恢复初期,患者常常处于一种应激状态,承受较大的生理和心理负担,有效的应对策略能缓解因此产生的心理压力,有利于患者术后康复。目的:调查分析心脏手术后患者所采用的应对方法和策略。设计:调查研究。单位:中国医科大学附属第一医院外科。对象:以1999-11/2000-03中国医科大学附属第一医院心脏外科收治的心脏瓣膜置换术后,从ICU病房转到普通病房第2天患者66例为研究对象。纳入本实验中64例,男34例,女30例,均为自愿。方法:采用问卷调查法对64例心脏手术后患者进行心理压力应对策略的调查分析。采用Likert4分制量表测量患者所采用的应对策略。主要观察指标:心脏手术后患者应对方式和应对策略。结果:①“面对”应对方式中的“服从医生的安排”的应用率为97%(62/64)。②“逃避”应对方式中的“拒绝相信手术这一事实”的应用率为2%(1/64)。结论:应用最多的应对策略是“面对”应对方式中的“服从医护人员的安排”。应用最少的应对策略是“逃避”应对方式中的“拒绝相信手术这一事实”。

BACKGROUND:During the first period of recovery after open heart surgery,patients are usually faced with reality of stressful situation and have to bear the physical and psychological burden,whereas the efficacious coping strategies can relieve their stressful situation and facilitate their postoperative recovery.<OBJECTIVE:To investigate and analyze the coping ways and strategies used by the patients undergoing open heart surgery.<DESIGN:An inventory study.<SETTING:Department of Surgery, the First Affiliated Hospital of China Medical University.<PARTICIPANTS:Participants were recruited from the Department of Cardiac Surgery,the First Affiliated Hospital of China Medical University during November 1999 to March 2000.Sixty six patients,who underwent cardiac valve replacement,were taken as the subjects on the second day after they turned to the general ward from intensive care unit.A total of 64 patients were voluntarily involved in this study,including 34 males and 30 females.<INTERVENTIONS:Questionnaire inventory was applied to the 64 patients of open heart surgery for the investigation and analysis of the coping strategies for their psychological pressure.The coping strategies for psychological pressure adopted by the patients were measured with the 4 point Likert scale.<MAIN OUTCOME MEASURES:Coping ways and coping strategies for patients after open heart surgery. <RESULTS:① The using rate of “ I did something according to the physician's suggestions” in the“ confrontive coping” way was 97% (62/64) ② The using rate of“ I refused to believe that I had received the surgery” in the “ escape avoidance” items was 2% (1/64).<CONCLUSION:The coping strategy which is the most frequently used by the patients after open heart surgery is“ I did something according to the physician's suggestions” in the“ confrontive coping” way, while the most seldom used is“ I refused to believe that I had received the surgery” in the“ escape avoidance” .