认知行为干预对改善心脏介入术后患者的护理效果分析(1)
【摘要】 目的：分析研討认知行为干预对改善心脏介入术后状况的护理效果。方法：选取2015年8月-2017年3月本院心内科收治的心脏介入术患者80例作为研究对象，按照随机数字表法将其分为对照组和研究组，每组40例。对照组接受常规护理，研究组在常规护理基础上接受认知行为干预，观察比较两组干预效果、心理状况、拔除导管时间、并发症发生情况等。结果：研究组护理满意度为92.5%，明显高于对照组的62.5%，差异有统计学意义(字2=10.322 6，P=0.001 3)。研究组并发症发生率为5.0%，明显低于对照组的27.5%，差异有统计学意义(字2=7.439 7，P=0.006 4)。研究组CCU住院、去除压迫器、拔除导管时间均低于对照组，差异均有统计学意义(P<0.05)。两组干预前SDS、SAS评分比较，差异均无统计学意义(P>0.05)；干预后，研究组SDS、SAS评分均低于对照组，差异均有统计学意义(P<0.05)。结论：将认知行为干预应用到心脏介入术患者中，可更为明显地改善患者负面情绪，降低并发症，促进术后恢复，值得推广。
, 百拇医药 【关键词】 心脏介入术； 认知行为； 护理
【Abstract】 Objective：To analyze and discuss the nursing effect of cognitive behavioral intervention on improving of patients after cardiac intervention surgery.Method：A total of 80 patients with cardiac intervention surgery treated in department of cardiology of our hospital from August 2015 to March 2017 were selected as the study objects. According to random number table method，they were divided into control group and study group，40 cases in each group.The control group was received routine nursing，the study group was received cognitive behavioral intervention on the basis of routine nursing.The intervention effects，psychological status，time of catheter extraction and complications were observed and compared between two groups.Result：The nursing satisfaction of the study group was 92.5%，which was higher than 62.5% of the control group，the difference was statistically significant(字2=10.322 6，P=0.001 3).The incidence of complications in the study group was 5.0%，which was lower than 27.5% in the control group， the difference was statistically significant(字2=7.439 7，P=0.006 4).The time of CCU hospitalization，the removal of compressors and the extubation of catheters in the study group were lower than those in the control group，the differences were statistically significant (P<0.05).There were no significant differences between the two groups in SDS and SAS scores before intervention (P>0.05)；after intervention，the scores of SDS and SAS in the study group were lower than those in the control group，the differences were statistically significant(P<0.05).Conclusion：The application of cognitive behavioral intervention to patients with cardiac intervention surgery can significantly improve the negative emotion of the patients，reduce the complications and promote the recovery after the operation，which is worth promoting.
【Key words】 Cardiac intervention surgery； Cognitive behavior； Nursing
First-author’s address：The University of Hong Kong-Shenzhen Hospital，Shenzhen 518053，China, http://www.100md.com(胡小明 黄亚兰 王晓龙)
, 百拇医药 【关键词】 心脏介入术； 认知行为； 护理
【Abstract】 Objective：To analyze and discuss the nursing effect of cognitive behavioral intervention on improving of patients after cardiac intervention surgery.Method：A total of 80 patients with cardiac intervention surgery treated in department of cardiology of our hospital from August 2015 to March 2017 were selected as the study objects. According to random number table method，they were divided into control group and study group，40 cases in each group.The control group was received routine nursing，the study group was received cognitive behavioral intervention on the basis of routine nursing.The intervention effects，psychological status，time of catheter extraction and complications were observed and compared between two groups.Result：The nursing satisfaction of the study group was 92.5%，which was higher than 62.5% of the control group，the difference was statistically significant(字2=10.322 6，P=0.001 3).The incidence of complications in the study group was 5.0%，which was lower than 27.5% in the control group， the difference was statistically significant(字2=7.439 7，P=0.006 4).The time of CCU hospitalization，the removal of compressors and the extubation of catheters in the study group were lower than those in the control group，the differences were statistically significant (P<0.05).There were no significant differences between the two groups in SDS and SAS scores before intervention (P>0.05)；after intervention，the scores of SDS and SAS in the study group were lower than those in the control group，the differences were statistically significant(P<0.05).Conclusion：The application of cognitive behavioral intervention to patients with cardiac intervention surgery can significantly improve the negative emotion of the patients，reduce the complications and promote the recovery after the operation，which is worth promoting.
【Key words】 Cardiac intervention surgery； Cognitive behavior； Nursing
First-author’s address：The University of Hong Kong-Shenzhen Hospital，Shenzhen 518053，China, http://www.100md.com(胡小明 黄亚兰 王晓龙)