Davies N
Faculty of Health, South Bank University, London, England.
J Adv Nurs. 2000 Aug;32(2):318-26. doi: 10.1046/j.1365-2648.2000.01479.x.
Stress and anxiety experienced by patients following myocardial infarction are well documented. Moreover, partners feel distress when they realize that they must assume responsibility for day-to-day care once the period of hospitalization is over. However, despite the trend towards early hospital discharge and the role which carers appear to be expected to undertake during the recovery of patients who have had cardiac surgery, few studies have been undertaken with this group outside the United States of America. This omission was filled by a descriptive survey with 60 patients and carers following cardiac surgery. Data were obtained during early recovery (1 week after hospital discharge) and 6 weeks later. The results indicated that carers assumed a heavy burden once the patient had left hospital and were less satisfied with the timing of discharge than the patients. Information provided by nurses was consistently rated more highly than information provided by doctors or physiotherapists but there was scope for increasing input with both groups. High levels of satisfaction with the information provided by health professionals were associated with lower scores on the Hospital Anxiety and Depression Scale. More qualitative, in-depth studies to explore the precise needs of patients and their carers are needed to ensure that in future both groups are better prepared.
心肌梗死后患者所经历的压力和焦虑已有充分记录。此外，当伴侣意识到一旦住院期结束他们必须承担日常护理责任时，他们也会感到痛苦。然而，尽管有早期出院的趋势，以及照顾者在心脏手术患者康复期间似乎被期望承担的角色，但在美国以外，针对这一群体进行的研究很少。一项对60名心脏手术患者及其照顾者的描述性调查填补了这一空白。数据在早期康复阶段（出院后1周）和6周后收集。结果表明，患者出院后照顾者负担沉重，且与患者相比，照顾者对出院时间的满意度较低。护士提供的信息一直比医生或物理治疗师提供的信息评价更高，但两组在增加信息提供方面都有空间。对医护人员提供的信息高度满意与医院焦虑抑郁量表得分较低相关。需要进行更多定性、深入的研究来探索患者及其照顾者的确切需求，以确保未来这两个群体都能做好更充分的准备。
