| 张春英,费忠化,马冬纹.术前访视和术后探视对老年冠状动脉搭桥术患者焦虑抑郁的影响[J].济宁医学院学报,2016,39(4):251-254,257 |
| 术前访视和术后探视对老年冠状动脉搭桥术患者焦虑抑郁的影响 |
| The effect of preoperative visit combined with postoperative restrictive visiting on the psychological status of the elderly underwent coronary artery bypass graft with anxiety and depression |
| 投稿时间：2016-05-26 |
| DOI：10.3969/j.issn.1000-9760.2016.04.007 |
| 中文关键词: 冠状动脉搭桥术;术前访视;术后探视;焦虑;抑郁 |
| 英文关键词: Coronary artery bypass graft;Reoperative visit;Postoperative restrictive visiting;Anxiety;Depression |
| 基金项目:济宁市科技局资助项目（2012jnwk03） |
| 作者 | 单位 | E-mail | | 张春英 | 济宁医学院附属医院, 济宁 272029 | | | 费忠化 | 济宁医学院附属医院, 济宁 272029 | feizh79@126.com | | 马冬纹 | 济宁医学院附属医院, 济宁 272029 | |
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| 中文摘要: |
| 目的 探讨术前访视联合术后探视对老年冠状动脉搭桥术（CABG）患者围术期焦虑抑郁状态的影响。方法 应用前瞻性研究方法，采用综合性医院焦虑抑郁量表（HAD）对本院115例老年CABG患者围术期行心理测评，随机分为对照组60例和干预组55例，对照组采用常规护理措施，干预组在此基础上给予术前访视和术后限制性探视，比较两组焦虑、抑郁状态发生率及HAD评分。结果 两组患者术后第3天HAD评分均低于入科后第1天（P<0.05）；干预组术后第3天焦虑、抑郁状态发生率和HAD评分均低于对照组（P<0.05）。结论 术前访视联合术后探视能明显降低老年CABG患者围术期焦虑、抑郁状态发生率。 |
| 英文摘要: |
| Objective To explore the clinical effect of preoperative visit combined with postoperative restrictive visiting for elderly patients with anxiety and depression in perioperative period of coronary artery bypass graft(CABG).Methods 115 patients elderly underwent CABG were prospectively investigated using Hospital Anxiety and Depression Scale.Patients with anxiety and /or depression after CABG were defined as the study group (n=55),and the other patients were included in the control group(n=60).Patients of control group were just given routine nursing care.And patients were given preoperative visit combined with postoperative restrictive visiting in study group.The incidence of anxiety and depression in two groups was compared.Results On third postoperative day,the scores of HAD in two groups were significantly lower than that in the first day of cardiac surgery.Compared with control group,HAD score and the incidence of anxiety and depression on third postoperative day were significantly declined in the study group.Conclusion Preoperative visit combined with postoperative restrictive visiting can reduce the incidence of anxiety and depression in perioperative period of elderly patients underwent CABG. |
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