摘要
目的:了解冠状动脉搭桥术(CABG)后患者对心脏外科ICU(CSICU)环境压力源的感知程度,并分析其影响因素,为临床实施干预措施提供理论依据。方法:选取115例CABG后患者为研究对象,采用一般资料调查表、急性生理学及慢性健康状况评分(APACHEⅡ评分)、ICU环境压力源量表、匹兹堡睡眠质量指数量表作为研究工具进行横断面调查,采用独立样本t检验、方差分析以及线性回归分析CABG后患者对CSICU环境压力源感知的影响因素。结果:CABG后患者入住CSICU期间排在前五位的压力源分别是带有口或鼻腔插管、口渴、想念家人、不能入睡、被管道束缚。CSICU环境压力源总分为(67.783±10.053)分,4个维度中得分最高的是患者自身感受维度(20.104±3.847)分、得分最低的是物理环境维度(13.730±4.467)分。多元线性回归分析显示,患者的性别(男性)、医保类型(自费)、入住CSICU时间、急性生理学及慢性健康状况评分(APACHEⅡ评分>5分)、匹兹堡睡眠质量(PSQI)评分是患者对CSICU环境压力源感知程度的影响因素(P<0.05)。结论:CABG后患者感受的CSICU环境压力源感知程度为中等程度,护理人员应针对影响因素采取相应护理措施降低患者对CSICU的环境压力源的感知,减少术后谵妄,缩短住院时间,促进患者尽快康复。
Objective:To understand the perception degree of environmental stressors in cardiac surgery ICU(CSICU)patients after coronary artery bypass grafting(CABG)and analyze its influencing factors,so as to provide theoretical basis for clinical intervention measures.Methods:A total of 115 patients after CABG were selected as the research objects.A cross-sectional survey was conducted using the General Data Questionnaire,acute physiology and chronic health evaluation scoring system(APACHEⅡscore),ICU environmental Stressors Scale,and Pittsburgh Sleep Quality Scale as research tools.Independent sample T test,analysis of variance and linear regression analysis were used to analyze the influencing factors of patients′perception of CSICU environmental stressors.Results:After CABG,the top five stressors during CSICU admission were oral or nasal intubation,thirst,missing family members,inability to fall asleep,and constraint by tubes.The total score of CSICU environmental pressure source was(67.783±10.053),the highest score of the four dimensions was the patient′s own experience dimension(20.104±3.847),and the lowest score was the physical environment dimension(13.730±4.467).Multiple linear regression analysis showed that patients′gender(male),medicare type(self-paid),CSICU residence time,the score of acute physiology and chronic health evaluation(APACHEⅡ>5),and Pittsburgh Sleep quality score(PSQI)were the influencing factors for patients′perceived CSICU environmental stressors(P<0.05).Conclusion:The perception of CSICU environmental stressors experienced by patients after CABG was moderate.Nursing staff should take corresponding nursing measures to reduce the perception of CSICU environmental stressors in patients according to the influencing factors,relieve postoperative delirium,shorten the hospital stay,and promote the recovery of patients as soon as possible.
作者
翟晓媛
祝利花
薛敏
周敏
Zhai Xiaoyuan;Zhu Lihua;Xue Min(Qilu Hospital of Shandong University,Jinan Shandong 250012,China)
出处
《齐鲁护理杂志》
2021年第2期5-8,共4页
Journal of Qilu Nursing
关键词
冠状动脉搭桥术
ICU环境压力源
影响因素
Coronary artery bypass grafting
Environmental stressors in ICU
Influencing factors
