术前人文关怀联合规范手术室配合在老年心外科CPB中的应用效果

Analysis on the effect of preoperative humanistic care combined with standardized operating room cooperation in patients before cardiopulmonary bypass in the geriatric cardiology department

目的分析老年心外科体外循环(CPB)术前人文关怀联合规范手术室配合效果。方法收集2019年2月至2022年2月进行心脏CPB手术治疗患者87例,根据患者干预措施不同分为对照组39例(常规干预)与观察组48例(人文关怀联合规范手术室配合干预)。对比2组恢复情况(下床活动时间、拔管时间、进食时间、住院时间);比较2组临床指标(术前和术后收缩压、舒张压心率);对比2组干预前、后心理状况[采用焦虑自评量表(SAS)和抑郁自评量表(SDS)进行评估];对比依从性及满意度。结果观察组下床活动时间、拔管时间、住院时间均短于对照组(P<0.05),进食时间早于对照组(P<0.05)。干预前2组收缩压、舒张压、心率、SAS评分、SDS评分比较差异无统计学意义(P>0.05)。干预后,2组收缩压、舒张压、心率均明显低于干预前(P<0.05),观察组低于对照组(P<0.05);2组SAS、SDS评分均降低(P<0.05),观察组干预后SAS、SDS评分均低于对照组(P<0.05)。观察组依从性、满意度评分均高于对照组(P<0.05)。结论人文关怀联合规范手术室配合可促进患者康复,提高患者满意度及依从性。

Objective To analyze the effect of preoperative humanistic care combined with standardized operating room cooperation in patients before cardiopulmonary bypass(CPB)in the geriatric cardiology department.Methods A total of 87 patients who underwent CPB in our hospital from February 2019 to February 2022 were recruited.They were randomly divided into control group(39 cases,routine intervention)and observation group(48 cases,humanistic care combined with standardized operating room intervention)according to different intervention measures.The recovery(time of off-bed activities,time of extubation,time of first eating and length of stay),clinical data(systolic blood pressure[SBP],diastolic blood pressure[DBP]and heart rate before and after operation),psychological status(the Self-Rating Anxiety Scale[SAS]and the Self-Rating Depression Scale[SDS])before and after intervention,compliance and satisfaction were compared between groups.Results The time of off-bed activities,time of extubation,time of first eating and length of stay were significantly shorter in the observation group than those of the control group(P<0.05).There were no significant differences in SBP,DBP,heart rate,SAS score and SDS score before intervention between the two groups(P>0.05).After intervention,the SBP,DBP and heart rate of the two groups were significantly lower than those before intervention,which were significantly lower in the observation group than those of the control group(P<0.05).The SAS and SDS scores in the two groups were significantly lower after intervention than those before intervention,which were significantly lower in the observation group than those of control group(P<0.05).The scores of compliance and satisfaction in the observation group were significantly higher than those of the control group(P<0.05).Conclusion The combination of humanistic care and standardized operation room cooperation can promote the rehabilitation and improve their satisfaction and compliance.