个性化综合护理干预在iabp患者中应用的效果评价.pdfVIP

个性化综合护理干预在IABP患者中应用的效果评价 The efficacy of personalized comprehensive nursin care strategy on psychological stress for patients with intra-aortic balloon pump usage 南京医科大学附属南京医院（南京市第一医院） 心内科CCU 周娟娟 宋萍 摘要：目的 比较个性化综合护理干预对IABP 患者焦虑抑郁状况、IABP 平均应用时 间、患者舒适度、护理满意度的影响。方法 将符合条件的 80 例 IABP 患者按随机数 字法分为实验组和对照组各40 例。其中对照组给予常规护理，实验组在常规护理的基 础上同时实施个性化的综合护理干预。对护理干预后两组患者焦虑抑郁状况、IABP平均 置管时间、舒适度以及护理满意度进行比较。结果 实验组患者焦虑评分在置管后第 3 天第 6 天及拔管后低于对照组，差异有统计学意义（p0.05 ）；实验组抑郁评分在置管 后第6 天及拔管后低于对照组，差异有统计学意义（p0.05 ）；实验组IABP 平均置管时 间为119.4±29.4(h)，对照组为141.3±30.7(h),差异有统计学意义（p0.05 ）；实验 组舒适度评分高于对照组，差异有统计学意义（p0.05 ）；两组护理满意度差异无统计 学意义(p＞0.05) 。结论 个性化综合护理干预能有效缓解IABP 患者焦虑抑郁状况，减少 IABP 置管时间和提高患者舒适度，从而促进患者躯体和心理的全面康复，对临床护理 实践具有指导意义。 关键词：主动脉球囊反搏；个性化综合护理干预 ；焦虑；抑郁 ；舒适度 Objective:Patients receiving intra-aortic balloon pump (IABP) insertion are easier to feel anxious and depressed, when they keep staying in such a station insulating from the outside. This study sought to evaluate effects of the personalized comprehensive nursing care strategy on those patients. Methods: A total of 80 patients undergoin IABP insertion were enrolled, who were then randomly divided into two groups at 1:1 ratio, described as experimental group and control group, respectively. Patients in the control group received the routin nursin care strategy only, while the remained patients received extra personalized comprehensive nursin intervention. The self-ratin anxiety scale (SAS) and self-ratin depression scale (SDS) were used separately to evaluate their depression condition, at day 1 ，day 3, day 6 after IABP insertion and within 6 hours when IABP was removed. Before removing IABP, the degrees of comfort among such patients were assessed. The mean durations of IABP application, as well as the levels of satisfaction amon these patients were also recorded when they left hospital.Results: The personalized comprehensive nursin intervention was more helpful for pat