心脏手术患者术前不良情绪的筛查与应对

Screening and management of preoperative negative emotion in patients undergoing cardiac surgery

目的调查四川大学华西医院心外科患者术前的不良情绪,分析其相关因素。方法通过四川大学华西医院心理卫生中心研发的情绪障碍筛查工具"华西心晴指数问卷"(Huaxi emotional-distress index,HEI),对2016年3月至2017年4月期间在心外科住院的1968例成人患者进行术前心理评估。其中男835例、女1133例,年龄(49±13)岁。结果有51例(2.6%)患者存在不良情绪,其中有6例被筛查出有自杀风险,进行干预后,均未发生由不良情绪带来的严重后果,如自动出院、逃避手术、自杀。结论本研究发现四川大学华西医院心外科患者绝大部分在术前具有良好的心理状况,极少数患有不良情绪。"华西心晴指数问卷"操作简单,有效,值得推广。

Objective To investigate the negative emotions of patients before cardiac surgery in West China Hospital in order to analyze the related factors.Methods The Huaxi emotional-distress index(HEI),a screening tool for mood disorders developed by the Mental Health Center of West China Hospital,was used for preoperative psychological evaluation of 1968 adult patients hospitalized in cardiac surgery from March 2016 to July 2014.There were 835 males and1133 females at age of 49±13 years.Results Fifty-one patients(2.6%)had negative emotions,among whom6 patients were screened for suicide risk.After intervention,none of them had serious consequences caused by adverse emotions,such as automatic discharge from hospital,avoidance of surgery and suicide.Conclusion This study found that most of the cardiac surgery patients in West China Hospital have good psychological status before surgery,and a few suffered from negative emotions."Huaxi emotional-distress index"is simple,effective and worth promoting.