Effect of nursing intervention for the patients awaiting the PCI surgery on patients' stress response and outcomes
10.3760/cma.j.issn.1674-2907.2012.15.007
- VernacularTitle:PCI术前干预支持对患者术时应激反应行为及结局的影响
- Author:
Chun-Yan YANG
1
;
Yu-Zhen GAO
;
Ya-Feng LI
;
Yan-Min LI
;
Jing HAO
;
Lu ZUO
Author Information
1. 山西医科大学
- Keywords:
Massage;
Stress;
Cardiovascular interventional surgery
- From:
Chinese Journal of Modern Nursing
2012;18(15):1759-1762
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of nursing intervention for the patients awaiting the PCI surgery on the patients' stress response and outcomes.Methods One hundred and six patients who underwent the PCI surgery and met the inclusion criteria between November 2010 and September 2011 were recruited and randomly divided into control group and experiment group,with 53 patients in each group.The patients in the control group received routine preoperative examinations.In addition,the patients in the experiment group received a unified and standardized massage care provided by the therapists.Shoulders and back were the areas massaged.Pulse rate,systolic and diastolic blood pressure were compared as a physiological stress,the pain,anxiety and VAS scores were compared between two groups.Results Before the intervention,there was no significant differences in the scores of the physiological and psychological stress ( P ＞ 0.05 ).After the intervention,the scores of the diastolic blood pressure(77.82 ± 12.23)mm Hg,heart rate(70.55 ±4.88)times/min,heart rate of going into surgery room(76.41 ± 11.(06) times/min,S-AI(35.71 ±9.55),T-AI (37.08 ±9.45),VAS(1.94±1.03) of the experiment group were lower than those of the control group(88.13 ± 11.06)mm Hg,(74.75 ± 5.98 ),( 84.96 ± 19.53 ) times/min,( 44.84 ± 7.41 ),( 42.31 ± 8.52 ),( 3.87 ± 1.55 ),and the differences were statistically significant( P ＜0.05 ).There were no significant differences in the systolic blood pressure between the experiment group( 128.74 ± 14.64 ) mm Hg and control group ( 124.45 ± 17.32 ) mm Hg (t =1.377,P ＞0.05 ).Conclusions The preoperative massage nursing intervention and support can effectively improve the anxiety,intense and pain of the patients during surgery and improve postoperative outcomes to some extent,promote the utility of massage care and increase patients' confidence and courage to face the PCI surgery.
