心脏手术和手术后身体功能,认知功能,心理健康和睡眠质量的变化
Yoshimi Kawahara1, Nobuto Nakanishi2, Keiko Nomura1
1Department of Nursing, Tokushima University Hospital, 2-50-1 Kuramoto, Tokushima 770-8503, Japan.
Nursing reports (Pavia, Italy)
|June 25, 2025
概括
心脏手术患者在手术后体验到身体功能和睡眠质量恶化. 然而,心理健康得到改善,而认知功能保持稳定. 开放胸切除术与睡眠不佳有关.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 神经外科 神经外科
背景情况:
- 心脏手术患者经常面临功能障碍.
- 有限的研究比较了干预前后的身体,认知和心理健康变化,以及睡眠质量.
- 这项研究通过评估心脏手术后的多个功能领域来弥补这一差距.
研究的目的:
- 评估心脏手术前后患者身体功能,认知功能,心理健康和睡眠质量的变化.
- 为了确定与心脏病手术后功能变化相关的因素.
主要方法:
- 使用了日本版本的心血管健康研究 (J-CHS) 和巴特尔指数对身体功能.
- 使用迷你精神状态检查 (MMSE) 进行认知功能评估.
- 通过医院焦虑和抑郁量表 (HADS-A,HADS-D) 评估心理健康,通过五分利克尔特量表评估睡眠质量.
主要成果:
- 身体功能 (J-CHS,巴特尔指数) 在手术后显著恶化 (p < 0.01).
- 焦虑 (HADS-A) 和抑郁 (HADS-D) 评分显著改善 (p < 0.01),而认知功能 (MMSE) 保持不变 (p = 0.91).
- 术后睡眠质量显著下降 (p < 0.01),开放式胸切除术与恶化有关.
结论:
- 心脏手术和手术导致身体功能和睡眠质量下降.
- 手术后的心理健康,特别是焦虑和抑郁症,显示改善.
- 认知功能通常保持不变,但睡眠质量受到损害,特别是在开放胸切除术后.
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