心臟導管介入術病人的焦慮分析

Analysis of anxiety level for patients undergoing cardiac catheterization

目的分析本院心臟導管介入術病人的焦慮現狀。方法取2022年1月1日~2022年3月31日本院心導管室接受心臟導管介入術的局部麻醉病人,調查其一般資料、焦慮情況、血壓、心率與併發症,探討焦慮和手術之間的關係。結果本次調查共納入100例病人,其中86%病人在術前出現焦慮情緒,以男性、65歲以上、首次接受心臟導管介入術及進行經皮冠狀動脈血管形成術的病人居多;71%病人伴隨着術中收縮壓≥140mmHg。年齡與焦慮評分的分組比較在統計學上有顯著差異(P<0.05);病人性別及其他人口學資料,術前、術中、術後血壓及心率比較未見有統計學明顯差異(P>0.05)。結論65歲以上心臟導管介入術病人的焦慮情緒發生率高,建議重視護理相關措拖,減輕病人手術焦慮情緒。

Objective To analyze the anxiety status of cardiac catheterization patients in our hospital.Methods Patients undergone cardiac catheterization with local anesthesia were enrolled from January to March in 2022 in our hospital.General demographic data,anxiety level,blood pressure,heart rate,and complications were investigated and the relationship between anxiety and operation was discussed.Results This survey recruited 100 patients and 86%of them had anxiety before operation.Most of the patients were male,over 65 years-old,receiving their first cardiac catheterization or percutaneous coronary angioplasty.71%of the patients had elevated systolic blood pressure≥140mmHg during intraoperative peroid.There was statistically significant differences between age and anxiety level(P<0.05),while no significant difference was found between other demographic data and preoperative,intraoperative,and postoperative blood pressure and heart rate(P>0.05).Conclusion Patients over 65 years old undergone cardiac catheterization have a high incidence of anxiety.Appropriate nursing intervention is suggested seriously for patient anxiety reduction during cardiac catheterization.