冠状动脉旁路移植术患者术前焦虑状态及其影响因素的调查分析

Investigation of the anxiety status in patients before the coronary artery bypass graft

目的探讨冠状动脉旁路移植术患者术前的焦虑状态及其影响因素,为临床实施健康教育、心理护理提供依据。方法采用焦虑自评量表(self-rating anxiety scale,SAS)于2008年7月-2010年5月对本院89例冠状动脉旁路移植术患者进行术前焦虑状态调查。结果冠状动脉旁路移植术患者术前SAS得分高于常模(P<0.01);患者以中度焦虑为主;年龄、文化程度及婚姻状况是患者术前焦虑程度的影响因素(均P<0.05)。结论冠状动脉旁路移植术患者术前存在不同程度的焦虑状态,年龄越大、文化程度越高及未婚或离异患者的焦虑程度越高,临床医护人员应为不同的患者实施针对性的心理疏导及社会支持,从而保证手术顺利进行,促进患者早日康复。

Objective To study the anxiety states in patients before the coronary artery bypass graft （CABG） so as to provide theoretical basis for clinical health education and psychological nursing. Method 89 patients who underwent CABG from July 2008 to May 2010 were investigated with the self-rating anxiety （SAS） before CABG. Results The patients′ scores of SAS before CABG were higher than the norm （P 0.01）. Most patients′ anxiety states, which were at the moderate level, were relevant with the patients′ ages, levels of education and marital status （all P 0.05）. Conclusions The patients suffer from anxiety of different levels before CABG. The factors of age, education, marital status are negatively related to the degrees of anxiety states. Therefore, the medical staff should provide corresponding psychological nursing and social support so as to guarantee the success of CABG and promote the patients′ recovery as soon as possible.