开放心脏手术后患者对疾病进展的恐惧:一个横截面研究
Zilu Liang1, Shaoyan Lin2, Huimei Sun2
1Department of Nursing, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China; School of nursing, Southern Medical University, Guangzhou, China.
Heart & lung : the journal of critical care
|June 6, 2025
概括
对疾病进展的恐惧在开放心脏手术患者中很常见. 年龄,焦虑和社会支持等因素影响这种恐惧,需要量身定制的心理干预.
科学领域:
- 心血管外科心血管外科
- 心理健康 心理健康
- 患者的治疗结果.
背景情况:
- 对疾病进展的恐惧 (FoP) 是心脏开放手术 (OHS) 后患者的一个新兴问题.
- 目前关于该人口中FoP的流行率和影响因素的数据有限.
- 进一步的调查对于了解和解决OHS后的FoP至关重要.
研究的目的:
- 调查OHS后患者当前的FoP患病率.
- 在这个队列中确定与 FoP 相关的人口,临床和心理因素.
主要方法:
- 一项涉及210名接受OHS治疗的患者的横截面研究.
- 数据采集使用验证问卷评估 FoP,应对模式,社会支持,疾病感知和焦虑/抑郁.
- 统计分析包括相关性,单变量和多重线性回归.
主要成果:
- 平均FoP得分为34.55±6.34,其中44.76%的患者表现出临床异常水平.
- 多重回归确定了年龄,教育,心血管疾病的家族史,疾病发作,术后并发症,焦虑/抑郁症,应对方式,社会支持和疾病感知作为FOP的重要预测因素.
- 这些因素共同解释了75.20%的FOP变异.
结论:
- 在心脏开放手术后的患者中,FoP是一个普遍的问题.
- 开发有针对性的心理干预和个性化的支持策略对于缓解FoP至关重要.
- 解决患者特异性因素是OHS后有效的FoP管理的关键.
相关概念视频
Cardiomyopathy VII: Pre and Post Operative Nursing Management
34
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
34
Acute Coronary Syndrome III: Diagnostic Studies
26
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
26
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
71
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
71
Coronary Artery Disease IV: Preventive Measures
40
Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
40
Endocarditis III: Medical Management
26
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
26
Coronary Artery Disease III: Clinical Manifestations
39
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
39


