冠心病介入治疗病人焦虑状况分析与护理对策

Coronary interventional treatment of patients with anxiety conditions and nursing strategies

目的调查冠心病患者介入治疗前后的焦虑情况,进行原因分析并探讨护理对策。方法采用Zung焦虑自评量表(SAS)评价病人焦虑状况,对180例有焦虑倾向(SAS评分>50分)的冠心病介入手术患者,随机分观察组和对照组(各90例),对观察组患者的焦虑原因进行分析,并采取系统化整体护理模式,而对照组则仅给予常规护理。结果介入治疗前两组病人焦虑程度比较差异无统计学意义(P>0.05);治疗后观察组患者的焦虑程度明显低于对照组,差异有统计学意义(P<0.01)。结论采用系统化整体护理模式,系统评估病人的焦虑状况,采取相应的护理措施,可以减轻冠心病介入治疗病人的焦虑状况,减少术后并发症和不良事件发生。

Objective To investigate the reasons and nursing strategy of nursing intervention on anxiety after Percutaneous coronary intervention patients.Methods Anxiety of 180 patients after percutaneous coronary interventionsurgery in November 2010 to October 2011 were evaluated by Self-Rating Anxiety Scale（SAS）and Self-rating depression scale（SDS）.180 patients in our hospital were divided into control group and Observation group,each group of 90 patients.Observation group analyze the reasons and take systematic holistic nursing care,Control group received routine care.Results Anxiety level was no statistical difference between observation group andcontrol group before in hospital（P〉0.05）,the Anxiety level after holistic nursing care were significant statistical difference between observation group and control group（P〈0.01）.Conclusion Holistic nursing care could reduce patients anxiety level,interventional complications and adverse events