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冠状动脉搭桥手术患者术前一日的恐惧与院内社会支持

Fear and in-hospital social support for coronary artery bypass grafting patients on the day before surgery.

作者信息

Koivula Meeri, Tarkka Marja-Terttu, Tarkka Matti, Laippala Pekka, Paunonen-Ilmonen Marita

机构信息

Department of Nursing Science, University of Tampere, FIN-33014, Finland.

出版信息

Int J Nurs Stud. 2002 May;39(4):415-27. doi: 10.1016/s0020-7489(01)00044-x.

Abstract

The purpose of this study was to ascertain the amount of in-hospital social support received by coronary artery bypass grafting patients and the impact of this support on their feelings of fear and anxiety. As adapted from Kahn's theory, social support was understood as emotional, informational and tangible support. The bypass grafting fear scale was developed to measure the fear, and the hospital anxiety and depression scale and the state anxiety inventory were used to measure the anxiety. Data were collected pre-operatively with a questionnaire from in-patients (N=193) and analysed using logistic regression analysis and one-way ANOVA. The majority of patients received plenty of social support from nurses and a great deal of multiprofessional counselling. When the amount of social support was high, patients experienced lower levels of fear and anxiety. It is concluded that social support from nurses can effectively reduce pre-operative fear and anxiety, but that the amount of support should be high.

摘要

本研究的目的是确定冠状动脉搭桥术患者在住院期间获得的社会支持量,以及这种支持对他们恐惧和焦虑情绪的影响。根据卡恩的理论,社会支持被理解为情感支持、信息支持和实际支持。开发了冠状动脉搭桥术恐惧量表来测量恐惧,使用医院焦虑抑郁量表和状态焦虑量表来测量焦虑。术前通过问卷调查收集了住院患者(N = 193)的数据,并使用逻辑回归分析和单因素方差分析进行分析。大多数患者从护士那里获得了大量的社会支持以及大量的多专业咨询。当社会支持量较高时,患者的恐惧和焦虑水平较低。得出的结论是,护士提供的社会支持可以有效降低术前的恐惧和焦虑,但支持量应该较高。

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