摘要
目的 探讨结构化转运准备应用于冠心病(Coronary Heart Disease,CHD)患者,对其离开CHD监护室焦虑的影响。方法 回顾性分析2022年1月~2023年3月在我院诊治的CHD患者101例,按照干预方式的不同分为常规组(常规干预,52例)和观察组(结构化转运准备干预,49例),比较两组干预前后的焦虑自评量表(Self-Rating Anxiety Scale,SAS)评分、汉密顿焦虑量表(Hamilton Anxiety Rating Scale,HAMA)评分、视觉模拟评分法(Visual Analog Scale,VAS)评分、匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分,以及圣乔治呼吸问卷(St. George's Respiratory Questionnaire,SGRQ)各维度评分。结果 与干预前比较,干预后两组SAS、HAMA评分均降低(P<0.05),且与常规组比较,观察组SAS、HAMA评分更低(P<0.05)。与干预前比较,干预后两组VAS、PSQI评分均降低(P<0.05),且与常规组比较,观察组VAS、PSQI评分更低(P<0.05)。与干预前比较,干预后两组SGRQ各维度评分均降低(P<0.05),且与常规组比较,观察组SGRQ各维度评分更低(P<0.05)。结论 结构化转运准备应用于CHD患者,可减轻其离开CHD监护室的焦虑情绪、疼痛,提高睡眠质量和生活质量。
Objective To explore the effect of structured transport preparation on anxiety of patients with coronary heart disease(CHD)who leaving intensive care unit.Methods 101 patients with CHD diagnosed and treated in our hospital from January,2022 to March,2023 were retrospectively analyzed.They were divided into routine intervention group(52 cases)and observation group(49 cases)according to different intervention mode.The self-rating anxiety scale(SAS),Hamilton anxiety scale(HAMA)and visual analogue scale(VAS)were compared before and after the intervention.The self-rating scales of anxiety before and after the intervention(SAS)score,Hamilton Anxiety Rating Scale(HAMA)scoring,visual analogue scoring method(VAS)score,Pittsburgh Sleep Quality Index(PSQI)grade,And the St.George's Respiratory Questionnaire(SGRQ)Score of each dimension were compared between two groups.Results Compared with before intervention,the scores of SAS and HAMA in the two groups decreased after intervention(P<0.05),and the scores of SAS and HAMA in the observation group were lower than those in the routine group(P<0.05).Compared with before intervention,the scores of VAS and PSQI in both groups decreased after intervention(P<0.05),and the scores of VAS and PSQI in the observation group were lower than those in the routine group(P<0.05).Compared with before intervention,the scores of SGRQ in both groups decreased after intervention(P<0.05),and the scores of SGRQ in the observation group were lower than those in the routine group(P<0.05).Conclusion The application of structured transport preparation in CHD patients can relieve their anxiety and pain when they leave intensive care unit,and improve their sleep quality and quality of life.
作者
丁楚
王弦
张琳
DING Chu;WANG Xian;ZHANG Lin(Wuhan University Central South Hospital,Wuhan 430000,China)
出处
《国际精神病学杂志》
2025年第1期253-257,共5页
Journal Of International Psychiatry
关键词
结构化转运准备
CHD
监护室
焦虑
睡眠质量
生活质量
Structured transport preparation
Coronary heart disease
Intensive care unit
Anxiety
Sleep quality
Quality of life