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护士主导教育对冠状动脉旁路移植术术前患者焦虑水平的影响。

Effect of nurse led education on anxiety level among coronary artery bypass grafting pre-operative patients.

机构信息

Institute of Nursing, Dow University of Health Sciences, Ojha Campus, Karachi, Pakistan.

Institute of Nursing, Dow University of Health Sciences, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2021 Jan;71(1(B)):238-242. doi: 10.47391/JPMA.325.

DOI:10.47391/JPMA.325
PMID:35157656
Abstract

OBJECTIVE

The objective of this study was to identify the effect of nurse-led pre-operative education in minimizing the level of anxiety among patients waiting for Coronary Artery Bypass Grafting.

METHODS

This experimental study was accomplished at National Institute of Cardiovascular Diseases. Out of 136, there were 80 patients identified with the presence of anxiety using AKUADS 4 to 6 weeks before CABG. Data were collected by the primary researcher from July 2016 to December 2016. Patients with anxiety were divided into experimental and non-experimental groups. After pre-operative education to the experimental group, patients from both groups were re-assessed for anxiety level one week before CABG.

RESULTS

Data were assessed through non-parametric Wilcoxon sign ranked and Mann Whitney tests. It was found that anxiety reduced significantly in post-assessment among experimental group participants. No significant difference was found for pre-anxiety assessment between experimental and non-experimental groups. It was noted that post assessment anxiety differed significantly between experimental and non-experimental groups.

CONCLUSION

Pre-operative education was found effective to decrease level of anxiety among patients waiting for CABG. There was no significant difference between pre and post assessment among patients from non-experimental group.

摘要

目的

本研究旨在确定护士主导的术前教育对减轻冠状动脉旁路移植术(CABG)患者焦虑水平的影响。

方法

本实验研究在国家心血管病研究所进行。在 CABG 前 4 至 6 周,使用 AKUADS 识别出 136 名存在焦虑的患者。数据由主要研究者于 2016 年 7 月至 2016 年 12 月收集。将焦虑患者分为实验组和非实验组。对实验组进行术前教育后,两组患者在 CABG 前一周再次评估焦虑水平。

结果

数据通过非参数 Wilcoxon 符号秩和检验和 Mann Whitney 检验进行评估。结果发现实验组患者在术后评估中焦虑显著减轻。实验组和非实验组在术前评估中焦虑无显著差异。实验组和非实验组在术后评估中焦虑有显著差异。

结论

术前教育可有效降低 CABG 患者的焦虑水平。非实验组患者的术前和术后评估无显著差异。

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