“双心医学”模式干预对冠状动脉旁路移植术术后患者心功能和抑郁情绪的影响

Effects of “Bi-cardiac intervention” Mode Intervention on Patients’ Heart Function and Depression after Coronary Artery Bypass Grafting

目的:探讨“双心医学”模式干预对冠状动脉旁路移植术术后患者心功能和抑郁情绪的影响。方法:选择2016年10月—2020年5月河南省胸科医院收治的158例进行冠状动脉旁路移植术的患者作为研究对象,根据围术期应用的护理方案将患者分为对照组(n=79,常规护理干预)及试验组(n=79,基于“双心医学”的护理干预)。术后随访6个月,监测并比较两组患者术后心功能指标,治疗前后焦虑抑郁情绪、自我管理能力以及手术并发症。结果:术后6个月两组患者左室射血分数(LVEF)和心排血量(CO)均较术前升高,左室舒张末期内径(LVEDD)减小,且术后6个月试验组心功能指标改善情况均优于对照组,差异有统计学意义(t=7.528、5.651、10.942,P<0.05);干预后,两组患者均较干预前降低,且干预后试验组低于对照组,差异有统计学意义(t=17.084、10.856,P<0.05);干预后2周CSMS评分比较可见,试验组显著高于对照组,差异有统计学意义(t=17.484、8.192、10.721,P<0.05);两组患者术后并发症发生率比较,试验组低于对照组,差异有统计学意义(χ~2=2.308、0、0、0、0、5.925,P<0.05)。结论:与常规护理干预相比,进行冠状动脉旁路移植术的患者应用“双心医学”模式干预可更有效地改善心脏功能,改善抑郁情绪,提升自我管理能力,降低并发症发生率。

Objective: To investigate the effect of “Bi-cardiac intervention” mode intervention on the heart function and depression of patients after coronary artery bypass grafting. Methods: A total of 158 patients with coronary artery bypass grafting who were admitted to the hospital from October 2016 to May 2020 were selected as the research subjects,, according to the nursing program applied in the perioperative period, the patients were divided into the control group(n=79, routine nursing intervention) and the experimental group(n=79, nursing intervention based on “Bi-cardiac intervention”). The postoperative follow-up was followed up for 6 months, and postoperative cardiac function indexes, anxiety and depression, self-management ability, and surgical complications were monitored and compared between the two groups before and after treatment. Results: 6 months after operation,LVEF and CO in the two groups were higher than those before operation, and LVEDD decreased, and the improvement of cardiac function indexes in the experimental group was better than that in the control group at 6 months after operation, and the difference was statistically significant(t=7.528, 5.651, 10.942, P<0.05). After the intervention, the two groups of patients were lower than those before the intervention, and the experimental group was lower than the control group after the intervention, and the difference was statistically significant(t=17.084, 10.856, P<0.05). Two weeks after the intervention, the CSMS score of the experimental group was significantly higher than that of the control group, and the difference was statistically significant(t=17.484, 8.192,10.721, P<0.05). The incidence of postoperative complications in the experimental group was lower than that in the control group,and the difference was statistically significant(χ~2=2.308, 0, 0, 0, 0, 5.925, P<0.05). Conclusion: Compared with conventional nursing interventions, patients undergoing coronary artery bypass grafting with “Bi-cardiac intervention” mode intervention can more effectively improve heart function, improve patient depression, improve patient self-management ability, and reduce complications rate, clinical application value is significant.