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心理评量技术干预对重症监护室心衰患者心功能及生活质量的改善效果
赵君,张茜,姚瑶,孙婷婷
0
(首都医科大学附属北京世纪坛医院重症医学科;北京丰台医院手术室;首都医科大学附属北京天坛医院手术室;北京丰台医院院务办公室)
摘要:
【摘要】目的 探讨心理评量技术干预对重症监护室 (ICU)心衰患者心脏功能的改善效果。方法 选取128例确诊为心力衰竭且具备手术指征者作为研究对象,随机将其分实验组和对照组,各64例。对照组采用常规抢救监护,实验组在抢救监护的基础上采用心理评量技术。比较两组干预前后心脏功能指标的差异性,评估其心理状态,然后进行差异性分析。结果 两组出院时左心室舒张末期内径、肌酸激酶(CK)低于入院时,左心室射血分数、排血量高于入院时;而实验组左心室舒张末期内径、CK减小低于对照组,左心室射血分数、排血量高于对照组,差异均有统计学意义(各P<0.05)。两组出院时NYHA I级较入院时增加,而出院时,实验组NYHA II、III级明显少于对照组;两组焦虑量表评分(SAS)和抑郁量表评分(SDS)出院时较入院时减小,而出院时,实验组SAS评分和SDS评分均低于对照组,差异均有统计学意义(各P<0.05)。结论 针对ICU心力衰竭患者给予心理评量技术干预可显著改善患者心脏功能,且有助于缓解焦虑和抑郁心理状态。
关键词:  重症监护室  心力衰竭  心理评量  心理干预
DOI:
基金项目:北京市科技计划项目 (Z1311020028)
Analysis of cardiac function and quality of life after psychological intervention in patients with heart failure in severe medical science
ZHAO Jun,ZHANG Xi,YAO Yao,SUN Tingting
(CMU, Capital Medical University affiliated Beijing Shijitan Hospital;Operation Room, Beijing Fengtai Hospital;Operation Room, Beijing Tiantan Hospital affiliated to Capital Medical University Beijing;Hospital Office, Fengtai Hospital)
Abstract:
【Abstract】 Objective To explore the ICU heart failure patients with psychological assessment of cardiac function after the intervention to improve the situation and its analysis. Methods 128 patients with ICU heart failure treated in our hospital diagnosed as heart failure and had surgical indications. They were randomly divided into the experimental group and the control group, each with 64 cases. The control group was treated with routine nursing. On the basis of routine nursing, the intervention group used psychological evaluation technique to evaluate the mental state of the patients according to the condition of the patients with severe heart failure and their physical condition. The cardiac function and the psychological status were observed. Results The left ventricular end diastolic diameter and CK at discharge were lower than that on admission. The left ventricular ejection fraction and cardiac output at discharge were higher than that on admission. The left ventricular end diastolic diameter and CK of intervention group were lower than that of control group and the left ventricular ejection fraction and cardiac output of intervention group were higher than that on admission that of control group (P<0.05). NYHA II and III of intervention group were less than that of control group. SAS score and SDS score of intervention group were less than that of control group. Conclusion Psychiatric assessment of patients with heart failure in ICU wards with severe illness can significantly improve cardiac function and help relieve anxiety and depression.
Key words:  Intensive care unit  Heart failure  Psychological evaluation  Psychological intervention

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