综合护理干预对胸外科手术患者焦虑情绪的影响

Effect of comprehensive nursing intervention on patients with anxiety during thoracic surgery

  • 摘要: 目的 探讨综合护理干预措施对胸外科手术患者焦虑情绪的影响。方法 160例胸外科开胸手术患者随机分为对照组和干预组。对照组按常规护理,干预组运用增进社会支持、信息支持和促进患者良好睡眠的综合干预方法进行护理。分别在入院第1天、手术前1天和手术后第2天采用Zung焦虑自评量表(SAS)和St.Mary′s医院睡眠问卷(SMH)测评患者的焦虑和睡眠状况。结果 2组患者入院时焦虑和睡眠状况评分,差异无统计学意义(P>0.05)。干预组手术前1天和手术后第2天SAS、SMH总分与对照组比较,差异均有统计学意义(P<0.01)。结论 护理干预措施能有效改善开胸手术患者的睡眠治疗,缓解焦虑水平,使患者更好地适应和配合手术。

     

    Abstract: Objective To study the effect of comprehensive nursing intervention on patients with anxiety during thoracic surgery. Methods One hundred and sixty patients who were going to undergo thoracic surgery were randomly divided into control group and intervention group.Patients in control group were routinely nursed and those in intervention group were comprehensively nursed with intervention methods including nursing information,social support and promotion good sleep of patients.Anxiety and sleep of patients were assessed using Zung self-rating anxiety scale(SAS) and St.Mary’s hospital sleep questionnaire(SMH),on admission day,one day before operation and 2 days after operation,respectively. Results No difference was found in scores of anxiety and sleep of patients at admission between the two groups(P>0.05).However,SAS and SMH showed a significant difference in the scores of anxiety and sleep of patients one day before operation and 2 days after operation between the two groups(P<0.01). Conclusion Nursing interventions can efficiently improve the sleep and anxiety of patients during thoracic surgery,thus making patients better adapt to and cooperate with surgery.

     

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