摘要
目的:探讨循证护理模式结合心理健康教育干预在心脏瓣膜置换术患者中的应用效果及对并发症、心理状态、睡眠质量的影响。方法:选取2019年9月—2021年5月阜外华中心血管病医院收治的130例行心脏瓣膜置换术的患者作为研究对象,按照随机数表法分为对照组和观察组,每组各65例。对照组采用常规护理,观察组在常规护理基础上实施循证护理模式结合心理健康教育干预。比较两组患者并发症发生情况、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、睡眠质量[匹兹堡睡眠质量指数(PSQI)评分]。结果:观察组并发症总发生率为1.54%,明显低于对照组的12.31%,差异有统计学意义(χ^(2)=5.849,P<0.05)。干预后,观察组SAS、SDS评分明显低于对照组,差异有统计学意义(t=16.017、21.314,P<0.05)。干预后,观察组PSQI评分明显低于对照组,差异有统计学意义(t=18.954,P<0.05)。结论:循证护理模式结合心理健康教育干预在心脏瓣膜置换术患者中应用,能够降低患者术后并发症发生风险,改善患者心理状态,提高患者睡眠质量,进而提升治疗效果,促进患者康复。
Objective:To investigate the effect of evidence-based nursing model combined with mental health education intervention in heart valve replacement patients and its effect on complications,psychological status,and sleep quality.Methods:130 patients admitted to the hospital for heart valve replacement from September 2019 to May 2021 were selected for the study,and were divided into control group and observation group according to the random number table method,with 65 cases in each group.The control group used conventional care,and the observation group implemented an evidence-based care model combined with mental health education intervention on the basis of conventional care.The occurrence of complications,psychological status(anxiety self-assessment scale [SAS] and depression self-assessment scale [SDS] scores),and sleep quality(Pittsburgh Sleep Quality Index [PSQI] scores) were compared between the two groups.Results:The total complication rate in the observation group was 1.54%,which was significantly lower than 12.31% of the control group,and the difference was statistically significant(χ^(2)=5.849,P<0.05).After the intervention,SAS and SDS scores were significantly lower in the observation group than in the control group,with statistically significant differences(t=16.017,21.314,P<0.05).After the intervention,the PSQI score of the observation group was significantly lower than that of the control group,and the difference was statistically significant(t=18.954,P<0.05).Conclusion:Evidence-based nursing model combined with mental health education interventions in heart valve replacement patients can reduce the risk of postoperative complications,improve patients' psychological status,and improve their sleep quality,which in turn can enhance the treatment effect and promote patients' recovery.
作者
刘琼
Liu Qiong(Adult Cardiac Surgery,Fuwai Central China Cardiovascular Hospital,Zhengzhou,Henan,450000,China)
出处
《黑龙江医学》
2023年第17期2129-2131,共3页
Heilongjiang Medical Journal
基金
河南省医学科技攻关项目(Wjlx201800102)。
关键词
循证护理
心理健康教育
心脏瓣膜置换术
应用效果
并发症
Evidence-based nursing
Mental health education
Heart valve replacement
Application effect
Complications
