摘要
目的:调查快速性心律失常患者作射频消融术前焦虑抑郁状态及其影响因素,探讨护理干预措施。方法:选择我院心内科行射频消融术的病人96例,在手术前后采用(SCL-90)症状自评量表和一般情况调查表进行调查,确定影响该类病人焦虑抑郁的因素。并将96例病人随机分为观察组和对照组,术前两组进行相同的护理和治疗,观察组在此基础上实施系统的心理护理和术前指导及视频模拟宣教。结果:行射频消融术患者焦虑抑郁发生率为87.5%,职业、家庭和经济情况是影响病人心理状态的主要原因。护理干预与否有明显差异。结论:护理干预可有效地缓解病人的抑郁焦虑状态。
Objective： To investigate the affecting factors of anxiety and depression before catheter ablation therapy for patients with rapid arrhythmias, and to study the nursing intervention for patients underwent catheter ablation. Method ： In order to determine the affecting factors of anxiety and depression in patients undergoing catheter ablation. 96 patients with rapid arrhythmias were selected and investigated using SCL- 90 scales table both before and after catheter ablation. 96 patients were randomly divided into experimental and control group. Patients in control group were accepted treatment and nursing care as routine, while patients in experimental group were given preoperative systematic psychological care, education and instruction beside the routine treatment and nursing care. Result：Anxiety and depression occurred in 87.5% of patients. The patients＇ anxiety and depression was affected significantly in turn by profession, family relationship and economic situation. Systematic nursing intervention released anxiety and depression in these patients. Conclusion： systematic nursing intervention before operation can reduce the anxiety and depression of catheter ablation therapy patients.
