结构式心理护理在ICD术后放电患者中的应用

Application of structured psychological nursing in patients with electrical discharge after ICD operation

目的:探讨结构式心理护理对埋藏式心脏复律除颤器(ICD)植入术后放电患者负性情绪的影响。方法:研究对象为安徽省某医院急诊科治疗的102例植入ICD术后放电患者,其中2019年1月-2020年12月的51例患者纳入对照组,2021年1月-2022年12月的51例患者纳入观察组。对照组患者给予常规心理干预,观察组患者给予结构式心理护理措施,并使用抑郁自评量表(SDS)、焦虑自评量表(SAS)、疾病不确定感量表(MUIS)评估和比较两组患者入科时和转科时的相关指标。结果:观察组患者护理干预后的SAS、SDS及MUIS评分均低于对照组,差异具有统计学意义(P<0.05)。结论:结构式心理护理能有效降低ICD植入术后放电患者的疾病不确定感及焦虑、抑郁情绪,值得临床推广应用。

Objective:To explore the effect of structured psychological nursing on negative emotions of patients with implantable cardioverter defibrllator(ICD)implantation.Methods:The subjects of this study were 102 patients with discharge after ICD implantation who were treated in the emergency department of a hospital in Anhui Province.Among them,51 patients from January 2019 to December 2020 were included in the control group,and 51 patients from January 2021 to December 2022 were included in the observation group.Patients in the control group were given conventional psychological intervention,while patients in the observation group were given structured psychological nursing measures.The self-rating depression scale(SDS),self-rating anxiety scale(SAS),uncertainty in illness scale(MUIS)were used to evaluate and compare the related indexes of the two groups at the time of admission and transfer.Results:The SAS,SDS and MUIS scores of the observation group were lower than those of the control group(P<0.05).Conclusion:Structured psychological nursing can effectively reduce the uncertainty of disease,anxiety and depression of patients with discharge after ICD implantation.