[1]马少培.连续性护理对小切口冠脉搭桥术患者术后并发症及生活质量的影响[J].医学信息,2024,37(01):163-166.[doi:10.3969/j.issn.1006-1959.2024.01.029]
　MA Shao-pei.Effect of Continuous Nursing on Postoperative Complications and Quality of Life in Patients Undergoing Small Incision Coronary Artery Bypass Grafting[J].Journal of Medical Information,2024,37(01):163-166.[doi:10.3969/j.issn.1006-1959.2024.01.029]
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连续性护理对小切口冠脉搭桥术患者术后并发症及生活质量的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年01期
页码:
163-166
栏目:
护理研究
出版日期:
2024-01-01

文章信息/Info

Title:
Effect of Continuous Nursing on Postoperative Complications and Quality of Life in Patients Undergoing Small Incision Coronary Artery Bypass Grafting
文章编号:
1006-1959（2024）01-0163-04
作者:
马少培
（天津市胸科医院心脏外科，天津 300350）
Author(s):
MA Shao-pei
(Department of Cardiac Surgery,Tianjin Chest Hospital,Tianjin 300350,China)
关键词:
小切口冠脉搭桥术; 连续性护理; 并发症; 生活质量; 负面情绪
Keywords:
Small incision coronary artery bypass grafting; Continuous nursing; complications; Quality of life; Negative emotions
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2024.01.029
文献标志码:
A
摘要:
目的 探究连续性护理对小切口冠脉搭桥术（CABG）患者术后并发症及生活质量的影响。方法 选取2021年1月-2022年1月天津市胸科医院行小切口CABG治疗的60例冠心病患者，经随机数字表法分为对照组（30例）与观察组（30例）。对照组行常规护理，观察组在其基础上应用连续性护理，比较两组术后疼痛视觉模拟评分（VAS）、镇痛药使用量、下床活动时间、住院时间、汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）评分、并发症、生活质量[健康调查简表（SF-36）评分]。结果 观察组术后VAS、镇痛药物使用量小于对照组，下床活动时间及住院时间均短于对照组（P＜0.05）。观察组干预后HAMA、HAMD评分低于对照组（P＜0.05）。观察组术后并发症发生率低于对照组，各项SF-36评分高于对照组（P＜0.05）。结论 连续性护理有助于减轻小切口CABG患者的术后疼痛程度，减少镇痛药物使用量，加快其术后康复，同时可缓解患者不良情绪，降低术后并发症风险，改善生活质量。
Abstract:
Objective To explore the effect of continuous nursing on postoperative complications and quality of life of patients with small incision coronary artery bypass grafting (CABG).Methods Sixty patients with coronary heart disease who underwent small incision CABG in Tianjin Chest Hospital from January 2021 to January 2022 were selected and divided into control group (30 patients) and observation group (30 patients) by random number table method. The control group was given routine nursing, and the observation group was given continuous nursing on the basis of routine nursing. The postoperative pain Visual Analogue Scale (VAS), analgesic dosage, ambulation time, hospitalization time, Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD) score, complications and quality of life [the MOS item short from health survey (SF-36) score] were compared between the two groups.Results The postoperative VAS and analgesic drug use in the observation group were less than those in the control group, and the time of getting out of bed and hospitalization were shorter than those in the control group (P<0.05). The HAMA and HAMD scores of the observation group were lower than those of the control group (P<0.05). The incidence of postoperative complications in the observation group was lower than that in the control group, and the SF-36 scores were higher than those in the control group (P<0.05).Conclusion Continuous nursing is helpful to reduce the degree of postoperative pain in patients with small incision CABG, reduce the use of analgesic drugs, speed up their postoperative rehabilitation, alleviate the negative emotions of patients, reduce the risk of postoperative complications, and improve the quality of life.

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更新日期/Last Update: 1900-01-01