中国全科医学2017，Vol.20Issue(6)：711-714,4.DOI:10.3969/j.issn.1007-9572.2017.06.015
应用人文医学执业技能接诊模式干预非体外循环冠状动脉旁路移植术后存在焦虑倾向患者的效果研究
Intervention Effect of Applying Admission Mode of Social Psychological Skills on Patients with Anxiety Tendency after Off-pump Coronary Artery Bypass Grafting
摘要
Abstract
Objective To evaluate the intervention effect of applying admission mode of social psychological skills on patients with anxiety tendency after off - pump coronary artery bypass grafting(OPCAB). Methods A total of 138 patients, who received treatment in the expert outpatient service of Department of Cardiac Surgery in Beijing Anzhen Hospital,Capital Medical University from September 2014 to March 2015 and were identified with anxiety tendency at the end of the third month after OPCAB by hospital anxiety and depression scale(HAD),were selected as the research objects. The subjects were divided into intervention group(n = 79)and control group( n = 59)based on the admission mode of doctors. The admission mode of social psychological skills were applied in the intervention group,the traditional mode of admission was used in the control group. The scores of anxiety in HAD and self - conscious satisfaction of surgical outcomes at the end of the third and the sixth month after surgery were compared between the two groups. Results There was no significant difference in the score of anxiety in HAD and the score of self - conscious satisfaction of surgical outcomes at the end of the third month after surgery of patients in the two groups(P ﹥ 0. 05). The score of anxiety in HAD at the end of the sixth month after surgery in the intervention group was significantly lower than that in the control group,while the score of self - conscious satisfaction of surgical outcomes was significantly higher than that in the control group(P ﹤ 0. 01). The score of anxiety in HAD at the end of the sixth month after surgery was significantly lower than that at the end of the third month after surgery in the intervention group,while the score of self - conscious satisfaction of surgical outcomes was significantly higher than that at the end of the third month after surgery(P ﹤0. 05);the score of anxiety in HAD at the end of the sixth month after surgery was significantly lower than that at the end of the third month after surgery in the control group,while the score of self - conscious satisfaction of surgical outcomes was significantly higher than that at the end of the third month after surgery( P ﹤ 0. 05). Conclusion The application of admission mode of social psychological skills in patients with anxiety tendency after OPCAB can effectively alleviate the anxiety of patients and improve the patient's satisfaction of the effects of OPCAB.关键词
焦虑/冠状动脉旁路移植术,非体外循环/人文医学Key words
Anxiety/Coronary artery bypass grafting,off - pump/Medical humanities分类
医药卫生引用本文复制引用
赵铁夫,王盛宇,马涵英,陈宏,张春晓,邹晓昭..应用人文医学执业技能接诊模式干预非体外循环冠状动脉旁路移植术后存在焦虑倾向患者的效果研究[J].中国全科医学,2017,20(6):711-714,4.基金项目
北京市教育规划“十二五”规划 （）
