心外科患者术后焦虑情绪及影响因素

Influencing Factors and Postoperative Anxiety in Patients with Cardiac Surgery

目的 了解心外科患者术后焦虑情绪的发生情况,分析相关影响因素。方法 选择在河南省胸科医院接受手术治疗的436例心外科患者作为研究对象,于术后第3天进行焦虑自评量表评价,对相关指标进行单因素比较,并通过logistic回归分析确定焦虑危险因素。结果 术后第3天,165例患者存在焦虑情绪,发生率为37.84%。焦虑情绪组和非焦虑情绪组患者年龄、配偶情况、受教育程度、家庭月收入、长期居住地、疾病病程、手术类型、手术持续时间、术后视觉模拟评分法评分、术后清醒时间和气管插管拔除时间等差异有统计学意义(P<0.05)。logistic回归分析显示,无配偶、家庭月收入<6 000元、手术持续时间≥6 h以及气管插管拔除时间长为心外科术后患者焦虑的独立危险因素(P<0.05)。结论 心外科患者术后焦虑情绪的发生率较高,其独立危险因素包括无配偶、家庭月收入<6 000元、手术持续时间≥6 h以及气管插管拔除时间长等,医护人员应做好患者围手术期间的心理因素评估,积极保护患者的身心健康。

Objective To survey the occurrence of postoperative anxiety in patients with cardiac surgery,and analyze related influencing factors.Methods A total of 436 patients undergoing cardiac surgery in Henan Chest Hospital were selected as the study subjects.At the 3rd day after surgery,all subjects were evaluated by self-rating anxiety scale.Single factor comparison was conducted for related indicators,and risk factors were determined by logistic regression.Results At the 3rd day after surgery,165 patients had anxiety,with an incidence of 37.84%.There were statistically differences in age,spouse status,education level,monthly family income,long-term residence,disease course,surgical type,surgical duration,postoperative visual analogue scale score,postoperative wakefulness time,and tracheal intubation removal time between the anxiety and non anxiety groups of patients(P<0.05).Logistic regression analysis showed that having no spouse,a monthly family income of less than 6000 yuan,a surgical duration of≥6 hours,and a long time for tracheal intubation removal were independent risk factors for anxiety in patients undergoing cardiac surgery(P<0.05).Conclusion The incidence of postoperative anxiety in patients with cardiac surgery was high,and the independent risk factors include no spouse,family monthly income<6000 yuan,surgery duration≥6 hours and long tracheal intubation extraction time.Medical staff should assess the psychological factors of patients during perioperative and actively protect the physical and mental health of patients.