个性化综合护理干预在主动脉内球囊反搏患者中的应用

The efficacy of personalized comprehensive nursing strategy on psychological stress for patients with intra-aortic balloon pump usage

目的比较个性化综合护理干预对主动脉内球囊反搏(intra-aortic balloon pumping,IABP)患者焦虑抑郁状况、IABP平均应用时间、患者舒适度、护理满意度的影响。方法将符合条件的80例IABP患者按随机数字法分为观察组和对照组各40例。其中对照组给予常规护理,观察组在常规护理的基础上同时实施个性化的综合护理干预。对护理干预后两组患者焦虑抑郁状况、IABP平均置管时间、舒适度以及护理满意度进行比较。结果在置管后第3天第6天及拔管后观察组焦虑评分低于对照组,差异有统计学意义(P<0.05);在置管后第6天及拔管后观察组抑郁评分低于对照组,差异有统计学意义(P<0.05);观察组IABP平均置管时间为(119.4±29.4)h,对照组为(141.3±30.7)h,差异有统计学意义(P<0.05);观察组舒适度评分高于对照组,差异有统计学意义(P<0.05);两组护理满意度差异无统计学意义(P>0.05)。结论个性化综合护理干预能有效缓解IABP患者焦虑抑郁状况,减少IABP置管时间和提高患者舒适度,从而促进患者躯体和心理的全面康复,对临床护理实践具有指导意义。

Objective Patients receiving intra-aortic balloon pump（IABP） insertion are easier to feel anxious and depressed,when they keep staying in such a station insulating from the outside. This study sought to evaluate effects of the personalized comprehensive nursing care strategy on those patients. Methods 80 patients undergoing IABP insertion were enrolled,who were randomly divided into two groups at 1 ∶ 1 ratio,as experimental group and control group,respectively. Patients in the control group received the routing nursing strategy only,while the remained patients received extra personalized comprehensive nursing intervention. The self-rating anxiety scale（SAS） and self-rating depression scale（SDS） were used separately to evaluate their depression condition,at day 1,day 3,day 6 after IABP insertion and within 6 hours when IABP was removed. Before removing IABP,the degrees of comfort among such patients were assessed. The mean durations of IABP application,as well as the levels of satisfaction among these patients were also recorded when they left hospital. Results The personalized comprehensive nursing intervention was more helpful for patients with IABP to relieve their anxieties at day 3,day 6 after insertion and within 24 hours when IABP was removed,compared to the control group（P〈0. 05）. The similar results indicating lower depressed scores were observed in the experimental group at day 6 after IABP insertion and within 24 hours when IABP was removed（P〈0. 05）. A shorter duration of IABP application was found in the experimental group（119. 4 ± 29. 4） h versus（141. 3 ± 30. 7） h,（P〈0. 05） and patients from this group felt more comfortable,compared with the control group（P〈0. 05）. Moreover,patients from both of groups were not well adopted to these two different nursing care strategies,showing no statistical significance pertaining to degrees of satisfaction（P〉0. 05）. Conclusion The personalized comprehensive nursing intervention was seemed to be helpful for these patients inserted with IABP to relieve their anxieties or depressions,which might lead to positive effects in reducing the applied duration of IABP and improving the degree of comfort,strengthening their confidence to fight with diseases. As a result,a meaningful guidance on nursing practice in the future would be expected.