基于患者期望的干预对冠状动脉手术结果的影响:一项随机临床试验
Kobra Noruzi Larki1, Tayeb Mohammadi2, Masoumeh Zakerimoghadam1
1School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
The journal of Tehran Heart Center
|April 29, 2024
概括
通过有针对性的干预来优化患者的期望,在冠状动脉手术患者中显著降低了心脏焦虑. 这种方法对于改善患者手术后的结果和幸福感至关重要.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 手术护理 手术护理
背景情况:
- 冠状动脉手术会导致心理困扰,包括恐惧,心脏焦虑和疼痛障碍.
- 患者的期望在心脏手术的结果中起着重要作用.
研究的目的:
- 评估针对患者期望的干预措施对冠状动脉手术结果的影响.
- 具体来说,评估对期望,心脏焦虑和疼痛诱导的残疾的影响.
主要方法:
- 一项随机临床试验,涉及60名冠状动脉手术候选人.
- 干预组接受了预期优化;对照组接受了例行护理.
- 在干预前和后进行了验证的问卷调查 (C-SPEQ,CAQ,PDI).
主要成果:
- 在疼痛障碍或心脏焦虑方面,两组之间没有显著的基线差异.
- 干预后,没有发现预期或疼痛残疾的显著差异.
- 心脏焦虑在干预组显著下降 (P=0.027).
结论:
- 专注于实现和优化患者期望的干预措施可以改善冠状动脉手术的结果.
- 这些发现支持对心脏手术候选人的基于期望的护理的整合.
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