聚焦解决干预联合音乐放松训练对主动脉夹层手术患者的影响

Effect of Solution-focused Intervention Combined with Music Relaxation Training on Patients Undergoing Aortic Dissection Surgery

目的:探究聚焦解决干预联合音乐放松训练对主动脉夹层手术患者的影响。方法:本次研究选取2020年1月—2022年2月兰州大学第二医院收治的84例主动脉夹手术患者,根据入院顺序分组,其中2020年1月—2021年1月收治的42例纳入对照组,2021年2月—2022年2月收治的42例纳入观察组,对照组给予常规护理,观察组给予聚焦解决干预联合音乐放松训练。比较两组患者负性情绪、自我护理能力、术后疼痛程度、并发症发生率、护理满意度。结果:干预后,两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分较干预前均降低,且观察组均低于对照组,差异有统计学意义(P<0.05)。干预后,两组自我护理能力测定量表(ESCA)评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。转出ICU 3 d、5 d,两组VAS评分均低于转出ICU,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,而护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论:聚焦解决干预联合音乐放松训练对主动脉夹层手术患者具有积极影响,能改善患者的焦虑、抑郁情绪,提高自护能力水平,降低术后并发症发生率及疼痛程度,从而提升患者护理满意度。

Objective:To explore the effect of solution-focused intervention combined with music relaxation training on patients undergoing aortic dissection surgery.Method:From January 2020 to February 2022,a total of 84 patients with aortic dissection surgery who admitted to Lanzhou University Second Hospital were selected in this study.According to the order of admission,42 patients who admitted from January 2020 to January 2021 were included in the control group,and 42 patients who admitted from February 2021 to February 2022 were included in the observation group.The control group was given routine nursing,while the observation group was given solution-focused intervention combined with music relaxation training.The negative emotion,self-care ability,degree of postoperative pain,complications rate and nursing satisfaction were compared between two groups.Result:After intervention,the self-rating anxiety scale(SAS)scores and self-rating depression scale(SDS)scores in two groups were lower than those before intervention,and the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the self-care ability test scale(ESCA)scores of two groups were higher than those before intervention,and the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).At 3 d and 5 d after ICU transfer,the VAS scores of two groups were lower than those after ICU transfer,and the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The complications rate in the observation group was lower than that in the control group,and the total nursing satisfaction was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusion:Solution-focused intervention combined with music relaxation training has a positive effect on patients undergoing aortic dissection surgery,which can reduce the anxiety and depression of patients,improve the self-care ability,reduce the complications rate and postoperative pain of patients,and improve the nursing satisfaction of patients.