多元化术前访视在冠脉搭桥患者术后ICU综合征的效果研究

Effect of Diversified Preoperative Visit on Postoperative ICU Syndrome in Patients with Coronary Artery Bypass

目的:探讨多元化术前访视在冠脉搭桥患者术后ICU综合征的效果研究。方法:将56例心脏外科手术患者随机分为实验组(28例)和对照组(28例),对照组患者由心胸大血管外科病房责任护士和手术室护士进行常规术前宣教,试验组患者在此基础上由ICU护士采取多元化的术前访视。采用ICU意识模糊评估量表(CAM-ICU)、ICU环境压力源量表(ICUESS)和焦虑自评量表(SAS),比较两组患者入住ICU的时间、患者满意度,同时对谵妄和焦虑等ICU综合征进行评估及对患者压力程度进行评定。结果:与对照组比较,实验组患者入住ICU的时间均要缩短,差异有统计学意义(P<0.05)。实验组患者的谵妄值、焦虑值及压力分值均明显低于对照组,差异均有统计学意义(P<0.05)。实验组患者的满意度明显高于对照组,实验组患者的满意度为96.43%,对照组患者的满意度仅为71.43%。结论:多元化的术前访视能有效缩短冠脉搭桥患者术后入住ICU的时间,降低ICU综合征的发生率,该访视方式具有较强的操作可行性和实用性,值得临床推广应用。

Objective: To explore the effect of diversified preoperative visit on postoperative ICU syndrome in patients with coronary artery bypass. Methods: 56 patients with cardiac surgery were randomly divided into experimental group( 28 cases) and control group( 28 cases),patients in control group were educated by thoracic vascular surgical ward nurses and operating room nurses on routine preoperative instruction. On the basis of control group,patients in the experimental group were taken diversified preoperative visits. By using the fuzzy evaluation of ICU consciousness scale( CAM),ICU environment stressor scale( ICUESS) and self-evaluation of anxiety scale( SAS),compare two groups of patients with ICU admission time and patient satisfaction,at the same time evaluate ICU syndrome such as delirium and anxiety and pressure rating of patients. Results: ICU admission time in the experimental group was statistically significant shorter than control group patients( P < 0. 05). Patients delirium value,anxiety and stress scores in experimental group were significantly lower than the control group( P < 0. 05). Satisfaction rate of patients in experimental group was obviously higher than that of control group,experimental group patients' satisfaction rate was 96. 43%,control group patients' satisfaction rate is only 71. 43%. Conclusion: Diversification of preoperative visits can effectively shorten the coronary bypass patients' postoperative ICU admission time,reduce the incidence of ICU syndrome. This preoperative visit method has more operation feasibility and practicability,worthy of clinical popularization and application.