对重症监护室心脏手术患者实施心理护理的积极作用

The Positive Role of Psychological Nursing on Patients Undergoing Cardiac Surgery in Intensive Care Unit

目的:研究对重症监护室心脏手术患者实施心理护理的积极作用。方法:选取2017年8月-2018年10月收治的90例重症监护室(ICU)心脏手术患者进行研究,随机分成研究组与对照组,每组45例。对照组实施ICU常规护理干预措施,研究组在对照组基础上实施针对性的心理护理,对比不同护理干预模式下两组ICU入住时间、术后住院时间、ICU监护过程中视觉模拟评分(VAS)及护理干预前后心理健康临床症状自评量表(SCL-90)评分。结果:研究组ICU入住时间和术后住院时间均明显短于对照组,VAS评分明显低于对照组(P<0.05);护理干预后两组SCL-90评分均较护理前明显下降,且研究组睡眠和饮食、恐怖、焦虑、抑郁和躯体化维度评分均明显低于对照组(P<0.05)。结论:在心脏手术患者ICU监护期间实施针对性的心理护理干预措施,能够使患者的身心状况得到有效改善,有助于缓解疼痛并缩短患者的监护和住院时间,使生存质量能够得到显著提升。

Objective:To study the positive role of psychological nursing on patients undergoing cardiac surgery in intensive care unit.Method:From August 2017 to October 2018,90 patients undergoing cardiac surgery in Intensive Care Unit(ICU)were selected for the study,and randomly divided into the study group and the control group,45 cases in each group.The control group was treated with ICU routine nursing intervention.The study group carried out targeted psychological nursing on the basis of the control group.The ICU stay time,postoperative hospitalization time,visual analogue scale(VAS)score during ICU monitoring and symptom check list-90 score(SCL-90)before and after nursing intervention were compared between the two groups under different nursing intervention modes.Result:The ICU stay time and postoperative hospitalization time in the study group were significantly shorter than those of the control group,and the VAS score was significantly lower than that of the control group(P<0.05).After nursing intervention,the SCL-90 scores of the two groups decreased significantly than those before nursing,and the scores of sleep and diet,terror,anxiety,depression and somatization in the study group were significantly lower than those of the control group(P<0.05).Conclusion:During ICU monitoring of patients undergoing cardiac surgery,targeted psychological nursing interventions can effectively improve the physical and mental condition of patients and help to relieve pain,and shorten the monitoring and hospitalization time of patients,the quality of life of patients can be significantly improved.