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有关于舒适护理对主动脉球囊反搏术后患者焦虑影响

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论文导读:25cases)andcontrolgroup(20cases).Thecontrolgroupwerecaredbyusualcare,onthebasisofthecontrolgroup,theexperimentgroupwerecaredbycomfortcare.ThescoresofSAS,nursingsatiaction,discomfortoftwogroupswerecompared.ResultsThescoresofSASinexperimentgroupwasbetter
[摘要] 目的 探讨舒适护理对主动脉球囊反搏术(IABP)后患者焦虑的影响。 策略 选择2012年3月~2014年5月在本院CCU住院行IABP治疗的45例危重冠心病患者作为研究对象,将其随机分为实验组25例和对照组20例。对照组采取常规护理,实验组在常规护理的基础上增加舒适护理。比较两组的焦虑程度变化情况、护理满意度、不适情况等指标。 结果 实验组护理后的SAS评分显著优于对照组,差异有统计学作用(P<0.05)。两组护理后的SAS评分显著优于护理前,差异有统计学意义(P<0.05)。实验组护理满意度显著优于对照组,差异有统计学意义(P<0.05)。实验组不适症状发生情况显著低于对照组,差异有统计学意义(P<0.05)。 结论 舒适护理可显著改善IABP后患者焦虑情况,提高护理满意度,缓解患者不适,值得临床推广应用。
[关键词] 舒适护理;主动脉球囊反搏术;焦虑;影响
[] B [文章编号] 1674-4721(2014)09(b)-0142-03
Influence of comfort care after intra-aortic balloon pump on the patients with anxiety
WANG Bi-qian
Department of Cardiovascular Medicine,Xingang Central Hospital of Xinyu City in Jiangxi Province,Xinyu 338000,China
[Abstract] Objective To explore the Influence of comfort care after intra-aortic balloon pump on the patients with anxiety. Methods 45 cases with coronary heart disease were randomly divided into experiment group(25 cases) and control group(20 cases).The control group were cared by usual care,on the basis of the control group,the experiment group were cared by comfort care. The scores of SAS,nursing satiaction,discomfort of two groups were compared. Results The scores of SAS in experiment group was better than that in control group,with statistical difference(P<0.05);The nursing satiaction in experiment group was better than that in control group,with statistical difference(P<0.05);The discomfort in experiment group was better than that in control group,with statistical difference(P<0.05). Conclusion Comfort care can significantly improve IABP patients with anxiety and nursing satiaction,ease the discomfort of patients,it is worthy of clinical promotion and application.
[Key words] Comfort care;Intra-aortic balloon pump;Anxiety;Influence
临床研究表明,危重症冠心病患者因出现顽固性心绞痛、泵衰竭、心源性休克或低心排综合征等情况,发生多器官功能衰竭,具有极高的死亡率。主动脉球囊反搏术(intra-aortic balloon pump,IABP)可改善冠状动脉供血情况,增加心排出量和心、脑、肾动脉及周围循环血流灌注以及尿量,有效降低死亡率。但IABP易造成患者的焦虑和不适感,通过舒适护理干预,可以有效改善术后患者的紧张焦虑及不适情况,提高患者心理、生理上的舒适感,利于患者康复。现将本院舒适护理对IABP后患者焦虑的影响方面的研究内容报道如下。
1 资料与策略

1.1 一般资料

选取2012年3月~2014年5月在本院CCU住院行IABP治疗的危重冠心病患者45例作为研究对象,患者均符合以下病例入选标准。①急性心肌梗死:根据典型胸痛症状、心电图动态变化、血清心肌酶谱和肌钙蛋白的数据进行确诊;②心源性休克:有基础冠心病,有明显末梢循环灌注不足如意识转变、皮肤湿冷、尿量0.05),具有可比性。 全文地址:www.7ctime.com/ssshllw/lw41803.html上一论文:简论精神病患者照料家属的护理压力及应策略略