延續性護理對冠心病術后心理彈性與睡眠質量影響研究

沈燕 劉曉艷 金曉艷

摘要 目的：研究延續性護理對冠心病術后心理彈性與睡眠質量影響。方法：選取2018年7月至2019年3月安徽蚌埠市第一人民醫院進行手術的冠心病患者80例作為研究對象，隨機分為對照組與觀察組，每組40例。對照組進行常規護理，觀察組進行延續護理，比較2組患者護理前后的心理彈性評分以及睡眠質量評分和護理滿意率。結果：護理前，2組患者的心理彈性評分比較，差異無統計學意義（P>0.05）;護理后，觀察組患者的心理彈性評分明顯高于對照組;觀察組睡眠質量評分明顯優于對照組;觀察組的護理滿意率為95.00%，對照組為80.00%，觀察組明顯高于對照組，差異有統計意義（P<0.05）。結論：對冠心病術后患者實施延續性護理，可以有效改善患者的睡眠質量，提高術后的心理彈性評分以及護理滿意率，值得在臨床推廣應用。

關鍵詞 延續性護理;冠心病;術后心理彈性;睡眠質量

Abstract Objective：To study the effect of continuous nursing on the psychological elasticity and sleep quality after coronary heart disease operation.Methods：A total of 80 patients with coronary heart disease who were operated on in Bengbu first people′s Hospital from July 2018 to March 2019 were selected as the main study objects.The patients were randomly divided into control group and observation group，40 in each group.The control group was given routine nursing，and the observation group was given continuous nursing.The psychoelastic score，sleep quality score and nursing satisfaction rate of the two groups before and after nursing were compared.Results：Before nursing，there was no significant difference between the two groups（P>0.05）; after nursing，the score of the observation group was significantly higher than that of the control group; the sleep quality score of the observation group was significantly better than that of the control group; the nursing satisfaction rate of the observation group was 95.00%，and that of the control group was 80.00%，the difference was statistically significant（P<0.05）.Conclusion：Continuous nursing for patients with coronary heart disease after operation can effectively improve the sleep quality of patients，improve the psychological flexibility score and the satisfaction rate of nursing，which is worth popularizing in clinical practice.

Keywords Continuous nursing;Coronary heart disease;Postoperative resilience;Sleep quality

中圖分類號：R473.6;R338.63 文獻標識碼：A doi：10.3969/j.issn.2095-7130.2020.08.039

冠心病是臨床中較為常見的心血管疾病，臨床上對該病的治療方式主要是進行冠狀動脈搭橋術（CABG），臨床效果十分顯著[1]。但在手術結束后，若術后護理不當，所搭的“橋”將會出現堵塞，對患者的預后效果會造成一定的影響[2]。延續性護理主要是在常規護理上進行加強的一種護理模式，該護理模式可以有效提高護理效果，在臨床上得到了廣泛的應用。本文主要研究延續性護理對冠心病術后心理彈性與睡眠質量影響，現報道如下。

1 資料與方法

1.1 一般資料 選取2018年7月至2019年3月安徽蚌埠市第一人民醫院進行手術的冠心病患者80例作為研究對象，隨機分為對照組與觀察組，每組40例。對照組中男20例，女20例，年齡23～53歲，平均年齡（37.35±2.36）歲，病程1～11年，平均病程（5.63±1.25）年;觀察組中男22例，女18例，年齡22～52歲，平均年齡（36.54±2.14）歲，病程1～10年，平均病程（5.12±1.41）年。一般資料經統計學分析，差異無統計學意義（P>0.05），具有可比性。本研究經過我院倫理委員會批準并經患者及其家屬知情同意。

1.2 護理方法