心理教育干预对接受冠状动脉旁路移植手术的患者的影响
Shahpar Bagheri1, Zahra Dadashpouromrani2, Giti Setoodeh3
1Community Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Journal of cardiothoracic surgery
|April 30, 2025
概括
心理教育干预措施显著减少了冠状动脉旁路移植患者的焦虑和疼痛. 这种方法还改善了手术后的氧和和呼吸率,为患者的护理提供了宝贵的补充.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 护理 护理 护理
背景情况:
- 冠状动脉绕道移植 (CABG) 后的术后期为患者带来了许多身体和心理上的挑战.
- 在这个关键阶段管理患者的福祉对于康复至关重要.
研究的目的:
- 调查手术前心理教育干预对接受CABG手术的患者焦虑,疼痛和生理参数的影响.
- 评估这种干预措施在改善患者治疗结果方面的有效性.
主要方法:
- 一项随机临床试验,涉及56名CABG候选人,分为干预 (n=28) 和常规护理 (n=28) 组.
- 数据收集包括经过验证的疼痛和焦虑问卷,以及生理测量 (血压,心率,呼吸率,氧和).
- 干预措施是通过面对面的会议单独进行的.
主要成果:
- 在干预组中观察到状态焦虑和疼痛得分的显著降低 (p < 0.05).
- 心理教育干预积极影响了周边氧和和呼吸率 (P < 0.05).
- 血压或脉率没有显著变化,对照组没有显著差异.
结论:
- 手术前的精神教育干预措施可以增强人内关怀,减少状态焦虑,并缓解CABG患者的疼痛.
- 该干预有效地稳定了关键的生理参数,如外周氧和和手术后的呼吸速率.
- 这种精神教育方法被推纳入CABG患者的术后护理计划.
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