冠状动脉介入病人应用信息交流袋减轻围术期疾病不确定感的临床研究

Clinical study on application of information communication bag to reduce peri-operative uncertainty in illness of patients undergoing coronary artery intervention

[目的]评价信息交流袋在减轻冠状动脉介入治疗(PCI)病人围术期疾病不确定感的作用及其对护理工作指导意义。[方法]抽取行冠状动脉介入治疗且初始疾病不确定感水平较高的118例病人并随机分成两组,对照组病人接受常规的健康指导,实验组病人采用信息交流袋进行针对性信息支持。采用中文版疾病不确定感量表(MUIS)于病人入院当天、术前1d晚、术后24h、出院前1d进行调查。[结果]两组病人入院当天疾病不确定感总分及其两个维度差异无统计学意义(P>0.05);实验组术前1d晚、术后24h及出院前1d疾病不确定感总分及其两个维度均较对照组明显下降(P<0.05)。[结论]信息交流袋的使用能够有效降低冠状动脉介入病人围术期疾病不确定感水平。

Objective：To evaluate the effect of information communication bag to reduce the uncertainty feeling of patients undergoing coronary artery intervention during perioperative period and its instruction significance for nursing work. Methods： A total of 118 cases undergoing coronary artery intervention and with higher illness uncertainty feeling were divided into control and test group ran- domly. Patients of control group were given routine health instruction. Patients of test group were given targeted information support by adopting information communication bag. All patients were investigated by adopting Chinese version of MUIS on the day of hospitalization, evening of one day before operation,24 h after operation and one day before discharge respectively. Results： There were no differences in terms of the general score of illness uncertainty and its two dimensions of uncertainty between two groups on the day of admission （P 〉0.05）. The illness uncertainty level and anxiety scores at pre- operative night, 24 hours after operation, and on the day before discharge of test group cases showed significantly decrease （P〈0.05）, and so did two dimensions of uncertainty （P〈0.05）. Conclusion： To apply information communication bag for patients undergoing coronary intervention during peri- operative period can obviously reduce the uncertainty feeling level of them.