基于磁性理念的双心护理对急诊冠状动脉搭桥术病人围术期情绪状况及心功能的影响

    Effect of dual heart nursing based on magnetic concept on perioperative emotional state and cardiac function of patients treated with emergency coronary artery bypass grafting

    • 摘要:
      目的: 探讨基于磁性理念的双心护理对急诊冠状动脉搭桥术(CABG)病人心功能的影响。
      方法: 选取急诊CABG病人180例作为研究对象,采用随机数字表法将病人分为对照组和观察组,各90例。对照组病人给予常规围术期护理,观察组给予常规围术期护理联合基于磁性理念的双心护理,比较2组病人情绪状况、心功能指标及随访3个月健康行为水平。
      结果: 观察组干预后医院焦虑抑郁量表评分和N末端B型钠尿肽前体、左心室舒张末期内径、左心室收缩末期内径均较对照组明显降低(P < 0.01),而左心室射血分数(LVEF)和随访3个月健康促进生活方式量表Ⅱ评分均较对照组明显升高(P < 0.01)。
      结论: 急诊CABG病人围术期采用基于磁性理念的双心护理,有助于缓解病人负性情绪,并有助于改善病人心功能和提高健康行为水平。

       

      Abstract:
      Objective To explore the effects of dual heart nursing based on magnetic concept on cardiac function of patients treated with emergency coronary artery bypass grafting (CABG).
      Methods One hundred and eighty emergency CABG patients were selected as the research object, and divided into the control group and observation group by random number table method (90 patients each group). The control group were given the routine perioperative care, and the observation were given the routine perioperative care combined with dual heart care based on the magnetic concept. The emotional status, cardiac function indexes and level of health behavior after 3 months of follow-up were compared between two groups.
      Results Compared with the control group, The hospital anxiety and depression scale (HADS) score, N-terminal pro-B-type natriuretic peptide (NT-proBNP), left ventricular end-diastolic diameter (LVEDD) and left ventricular end-systolic diameter (LVESD) significantly decreased (P < 0.05), while the left ventricular ejection fraction (LVEF) and health promoting lifestyle profile Ⅱ (HPLPⅡ) score after 3 months of follow-up significantly increased in the observation group (P < 0.05).
      Conclusions The dual heart nursing based on magnetic concept in perioperative patients treated with emergency CABG is helpful to relieve patients' negative emotions, improve patients' heart function and improve their health behavior level.

       

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