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Study on the effects of health education combined with psychotherapy on the mental disorders after thoracic aorta aneurysm surgery |
LI Xinxing WANG Jia SONG Mowei |
Department of EICU, Qunli Hospital, the First Affiliated Hospital of Harbin Medical University, Heilongjiang Province, Harbin 150001, China |
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Abstract Objective To explore the impact of health education combined with psychological nursing on the mental disorder after thoracic aorta aneurysm surgery. Methods Ninety cases of patients with thoracic aortic aneurysm from July 2015 to July 2017 treated in Qunli Hospital, the First Affiliated Hospital of Harbin Medical University were selected as clinical research objects, and divided into two groups by random number table, each group had 45 cases. The patients in the control group were given routine health education, and the patients in the observation group were given health education in combination with psychological nursing. Anxiety depression, self-efficacy and comfort score changes before and after nursing intervention of two groups were compared. Results Compared with those before nursing intervention, the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores of each group after nursing intervention were significantly decreased (P < 0.05), and SAS and SDS scores of the patients in the observation group were significantly lower than those of the control group (P < 0.05). Compared with before nursing intervention, self-efficacy of the two groups after nursing intervention was significantly enhanced (P < 0.05), whereas, comfort score was significantly decreased (P < 0.05). Self-efficacy of the patients in the observation group was significantly improved than that of control group (P < 0.05), and its comfort score was significantly lower than that of the control group (P < 0.05). Conclusion Health education in combination with psychological nursing can effectively improve stress disorder in patients with poor psychological mood after thoracic aorta aneurysm surgery, which help to alleviate the mental disorders, increase their self-efficacy, improve patients daily comfort at the same time, which plays an important role in improving the prognosis of patients.
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[1] 卡夏托.临床肿瘤学手册[M].北京:中国协和医科大学出版社,2012.
[2] 中华医学精神科学.CCMD-2-R中国精神疾病分类方案与诊断标准[M].南京:东南大学出版社,1995.
[3] 钟绒绒.急性心肌梗死患者并发应激性精神障碍的原因分析及护理干预[J].临床医学研究与实践,2016,1(12):160-161.
[4] 杨鸿儿,晓长秀.胸主动脉瘤术后发生应激性精神障碍的原因分析及护理对策[J].实用临床医学,2013,14(7):106-107.
[5] Kawel N,Jhooti P,Dashti D,et al. MR-imaging of the thoracic aorta: 3D-ECG- and respiratory-gated bSSFP imaging using the CLAWS algorithm versus contrast-enhanced 3D-MRA [J]. Eur J Radiol,2012,81(2):239-243.
[6] 王志英,侯朋飞,魏剑.重度烧伤合并应激性精神障碍2例报告[J].中国烧伤创疡杂志,2014,26(2):100-102.
[7] 吴炜炜,高晶,周曼颖.晚期双胎妊娠并发胸主动脉夹层一例的急救护理[J].解放军护理杂志,2015,32(14):42-43.
[8] 池迎春,翟冰冰,胡永亮.烧伤患者心理应激障碍分析及干预措施的研究[J].中国美容医学杂志,2012,21(1):149-151.
[9] Rengierabbaabcdbba F. Heartbeat-related distension and displacement of the thoracic aorta in healthy volunteers [J]. EUR J Radiol 2012,81(1):158-164.
[10] 叶玲玲.1例胸主动脉破裂出血患者的急救及护理[J].中国医药导报,2012,9(13):100,102.
[11] 段泉泉,胜利.焦虑及抑郁自评量表的临床效度[J].中国心理卫生杂志,2012,26(9):90-91.
[12] 申继亮,唐丹.一般自我效能感量表(GSES)在老年人中的使用[J].中国临床心理学杂志,2004,12(4):12-13.
[13] 李红,宋玲,张玉玲.再次手术行全胸腹主动脉置换术治疗主动脉夹层的护理体会[J].护士进修杂志,2012, 27(13):1230-1231.
[14] 耿跃然,李芳,李林芳.胸主动脉夹层动脉瘤患者腔内隔绝术治疗的介入护理[J].河北医药,2012,34(22):3502-3503.
[15] 熊剑秋,王毅,苏云艳,等.全胸腹主动脉替换术围手术期护理[J].中华护理杂志,2012,47(3):271-272.
[16] Li Z,Lu N,Shi L. Exercise training reverses alterations in Kv and BKCa channel molecular expression in thoracic aorta smooth muscle cells from spontaneously hypertensive rats [J]. J Cardiovasc Transl,2014,51(6):447-457.
[17] 刘元春,项晔,侯琳,等.17例再发胸腹主动脉夹层患者行球囊阻断术的术中护理[J].中华护理杂志,2014, 49(9):1072-1075.
[18] 李艳玲,王美灵.全胸腹主动脉置换术后早期营养支持20例临床护理[J].齐鲁护理杂志,2015,21(4):65-67.
[19] Van OP,Potters WV,Nederveen AJ,et al. A methodology to detect abnormal relative wall shear stress on the full surface of the thoracic aorta using four-dimensional flow MRI [J]. Magn Reson Med,2015,73(3):1216-1217.
[20] 罗晓娜.全胸腹主动脉置换术后肺部并发症的护理探讨[J].中国循环杂志,2016,31(1):146. |
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