心理教育干预对接受冠状动脉搭桥手术患者的影响。

Impact of psycho-educational interventions on patients undergoing Coronary Artery Bypass Grafting Surgery.

作者信息

Bagheri Shahpar, Dadashpouromrani Zahra, Setoodeh Giti, Shirazi Zahra Hadian, Amiri Azadeh, Ghobadimoghaddam Rozhan

机构信息

Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Cardiothorac Surg. 2025 Apr 30;20(1):223. doi: 10.1186/s13019-025-03461-3.

DOI:10.1186/s13019-025-03461-3

PMID:40307917

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12042531/

Abstract

BACKGROUND

Postoperative period of Coronary Artery Bypass Grafting can be challenging, with physical and psychological problems and symptoms. We conducted this study to explore the effect of a psycho-educational intervention on anxiety, pain and physiological parameters among Coronary Artery Bypass Grafting surgery patients.

METHODS

A randomized clinical trial design included one experimental and control group. Data were collected from 56 candidates for coronary artery bypass surgery (n = 28) in the intervention and (n = 28) in the usual care groups. Settings were the cardiac centers of the three teaching, specialty, and subspecialty Nemazee, Faghihi, and Al-Zahra hospitals affiliated with Shiraz University of Medical Sciences (SUMS). The data were collected using a demographic information form, the Short-Form McGill Pain Questionnaire, the Spielberger State-Trait Anxiety Inventory, and the physiological parameters form (systolic and diastolic blood pressure, heart rate, respiratory rate, and peripheral oxygen saturation). Psycho-educational interventions were performed individually through face-to-face sessions. All tests were two-tailed, and the statistical level was considered 0.05.

RESULTS

The mean scores of state anxiety and pain decreased significantly after the intervention (p < 0.05). Also, psycho-educational interventions affected peripheral oxygen saturation percentage, and breathing rate mean scores (P < 0.05). But, they did not affect the blood pressure and pulse rate (P > 0.05). At the same time, there was no significant difference in the control group.

CONCLUSION

This study indicated that the pre-operative psycho-educational interventions facilitated intrapersonal caring, reduce state anxiety, relieve pain and stabilize physiological parameters such as peripheral oxygen saturation percentage and breathing rate after surgery among Coronary Artery Bypass Grafting surgery patients. Hence, this intervention is recommended for developing care programs in same population.

TRIAL REGISTRATION

https://www.irct.ir/trial/55652 : IRCT20090908002432N8 (2021-09-17).

摘要

背景

冠状动脉搭桥术后阶段可能具有挑战性，会出现身体和心理问题及症状。我们开展这项研究以探讨心理教育干预对冠状动脉搭桥手术患者焦虑、疼痛和生理参数的影响。

方法

采用随机临床试验设计，包括一个试验组和一个对照组。从56名冠状动脉搭桥手术候选人中收集数据，干预组（n = 28）和常规护理组（n = 28）。研究地点为设拉子医科大学附属的三所教学、专科和亚专科Nemazee、Faghihi和Al-Zahra医院的心脏中心。使用人口统计学信息表、简短麦吉尔疼痛问卷、斯皮尔伯格状态-特质焦虑量表和生理参数表（收缩压和舒张压、心率、呼吸频率和外周血氧饱和度）收集数据。通过面对面会议进行个体心理教育干预。所有测试均为双侧检验，统计水平设定为0.05。