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心脏手术患者焦虑及干预
邢珂, 钱永军
四川大学华西医院,心脏大血管外科
摘要:
在心脏外科中,患者的焦虑十分常见,这是患者内在原因和手术应激等外在原因综合作用的结果,这种焦虑会产生许多不利影响,进行焦虑评定与适当干预十分必要。目前主要参考相关专业焦虑评定工具对焦虑进行评定。对焦虑较为显著的患者,要采用适当的措施进行干预。干预措施可分为药理学与非药理学干预,非药理学干预应当作为干预的主要手段,可分为术前教育与个人咨询,相互交流与情感支持,放松与压力管理,心理干预以及生活方式的教育。
关键词:  心脏外科  焦虑  必要性  评定  干预措施
DOI:
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基金项目:国家“十三五”重点研发专项资(2016YFC1302003);四川省科技计划重点研发项目(2017SZ0056);四川省卫生和计划生育委员会科研课题(编号17PJ177);国家老年疾病临床医学研究中心(四川大学华西医院)立项资助课题(编号:Z2018B19)
Anxiety and intervention in patients undergoing cardiac surgery
Abstract:
In cardiac surgery, preoperative anxiety is common in patients, which is the result of a combination of internal causes and external causes such as surgical stress, which have many negative impacts,so it is necessary to evaluate anxiety and intervene properly . At present, anxiety assessment is mainly conducted by referring to relevant professional anxiety assessment tools. And for patients with more significant anxiety symptoms, appropriate measures should be used to intervene in anxiety. Interventions can be divided into pharmacological interventions and non-pharmacological interventions, and non-pharmacological interventions should be regarded as the primary means of intervention, including preoperative education and personal counseling, mutual communication and emotional support, relaxation and stress management, psychological intervention and lifestyle education.
Key words:  Cardiac surgery  Anxiety  Necessity  Assessment  Interventions
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