心胸外科手术后患者的分级心理护理模式
The Patterns of Graded Psychological Nursing Care for Patients after Cardiothoracic Surgeries.
作者信息
Sun Hui, Liu Hongyu, Li Jingbo, Wang Xiaochun
机构信息
Operating Room, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.
Dept. of Cardiac Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.
出版信息
Iran J Public Health. 2017 Jul;46(7):899-905.
BACKGROUND
To investigate the interventional efficacy and clinical significance of graded psychological nursing care for patients who have undergone cardiothoracic surgery by providing graded psychological nursing care for these patients according to the results of their psychological evaluation.
METHODS
In this interventional study, 110 patients who had undergone cardiothoracic surgery between 2014 and 2015 in the First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China, were enrolled. We divided them into two groups of 55 patients each, namely, a control group and a treatment group. For patients in the control group, we applied regular psychological nursing care; those in the treatment group were further divided into three different psychological grades after being assessed using Symptom Checklist 90 (SCL-90) and the Pittsburgh Sleep Quality Index (PSQI); patients at each grade were treated by graded psychological nursing care in addition to regular psychological nursing care.
RESULTS
Significant decreases, with statistically significant differences (<0.01), were observed in the SCL-90 and PSQI scores of patients in the treatment group as compared with the control group. Patients in the treatment group, who underwent graded psychological nursing care according to their varying psychological conditions, showed better improvement in their post-surgery emotional state and sleep quality than those in the control group, thus indicating the great significance of graded psychological nursing care in clinical practices.
CONCLUSION
Applying graded psychological nursing care in post-operation cardiothoracic patients improved nursing care efficiency and alleviated patients' negative feelings. Therefore, this type of nursing care should be further promoted and utilized in clinical practice for effective rehabilitation of patients.
背景
通过根据心胸外科手术患者的心理评估结果提供分级心理护理，探讨分级心理护理对该类患者的干预效果及临床意义。
方法
在这项干预性研究中，纳入了2014年至2015年在中国黑龙江省哈尔滨市哈尔滨医科大学附属第一医院接受心胸外科手术的110例患者。我们将他们分为两组，每组55例，即对照组和治疗组。对于对照组患者，我们采用常规心理护理；治疗组患者在使用症状自评量表90（SCL-90）和匹兹堡睡眠质量指数（PSQI）进行评估后，进一步分为三个不同的心理等级；每个等级的患者除接受常规心理护理外，还接受分级心理护理。
结果
与对照组相比，治疗组患者的SCL-90和PSQI评分显著降低，差异具有统计学意义（<0.01）。根据不同心理状况接受分级心理护理的治疗组患者，术后情绪状态和睡眠质量的改善程度优于对照组，这表明分级心理护理在临床实践中具有重要意义。
结论
对心胸外科术后患者应用分级心理护理可提高护理效率，减轻患者的负面情绪。因此，这种护理方式应在临床实践中进一步推广和应用，以促进患者的有效康复。
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