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延续性护理对起搏器植入患者心理状态及应对方式的影响

Influence of Continuous Nursing on the Psychological State and Coping Style of Patients Undergoing Pacemaker Implantation.

作者信息

Liu Xin, He Xu, Li Ling, Huang Lili, Liu Zhaojun

机构信息

Blood Sampling Room, Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China.

Dept. of Hepatopancreatobiliary Surgery, First Affiliated Hospital of Harbin Medical University, Harbin 150001, China.

出版信息

Iran J Public Health. 2015 Jul;44(7):953-61.

Abstract

BACKGROUND

Patients undergoing pacemaker implantation often experience anxiety and fear. As such, studies have focused on the mechanisms that relieve the negative emotions caused by the intervention. Continuous nursing is a safe and effective nursing mode. In this study, continuous nursing intervention was provided for elderly patients undergoing pacemaker implantation and an empirical investigation was performed to determine the effects of their negative emotion and disease-coping ability.

METHODS

Overall, 114 (68 males and 46 females) elderly patients who were undergoing pacemaker implantation from Harbin City (China), were enrolled in the study. The patients were divided into two groups, namely, the control group and the intervention group, based on different nursing methods. Routine nursing was applied to the control group; continuous nursing support was provided for the intervention group from January 2014 to January 2015. The nursing results of the two groups were compared. These results were also evaluated using self-rating depression scale, self-rating anxiety scale, and trait coping style questionnaire.

RESULT

The effects of depression and anxiety intervention were significant in the intervention group (P<0.05). Compared with the control group, the intervention group did not significantly differ. The coping style of the intervention group elicited significant effects. Compared with the control group, the intervention group was significantly different (P < 0.05).

CONCLUSION

Continuous nursing can relieve the negative emotion and improve the negative coping style of patients undergoing pacemaker implantation.

摘要

背景

接受起搏器植入术的患者常经历焦虑和恐惧。因此,研究聚焦于缓解该干预所引发负面情绪的机制。连续性护理是一种安全有效的护理模式。本研究对接受起搏器植入术的老年患者实施连续性护理干预,并进行实证调查以确定其对负面情绪及疾病应对能力的影响。

方法

共纳入114例(68例男性和46例女性)来自中国哈尔滨市且正在接受起搏器植入术的老年患者。根据不同护理方法将患者分为两组,即对照组和干预组。对照组采用常规护理;干预组在2014年1月至2015年1月期间接受连续性护理支持。比较两组的护理结果。还使用自评抑郁量表、自评焦虑量表和特质应对方式问卷对这些结果进行评估。

结果

干预组的抑郁和焦虑干预效果显著(P<0.05)。与对照组相比,干预组无显著差异。干预组的应对方式产生显著效果。与对照组相比,干预组有显著差异(P<0.05)。

结论

连续性护理可缓解接受起搏器植入术患者的负面情绪并改善其消极应对方式。

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