Application of enhanced recovery after surgery in preventing post-traumatic stress disorder after adult cardiac surgery
10.3760/cma.j.issn.1674-2907.2017.19.013
- VernacularTitle:加速康复外科护理在预防成人心脏术后创伤后应激障碍中的应用
- Author:
Jizhi ZHANG
1
;
Yanling DING
;
Xiu'e LI
Author Information
1. 252601,聊城市第二人民医院护理部
- Keywords:
Stress disorder,post-traumatic;
Adult;
Cardiac surgery;
Enhanced recovery after surgery
- From:
Chinese Journal of Modern Nursing
2017;23(19):2503-2506
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of enhanced recovery after surgery (ERAS) in reducing post-traumatic stress disorder (PTSD).Methods Totally 95 patients who received cardiopulmonary bypass surgery in the Department of Cardio-Thoracic Surgery, the Second People's Hospital of Liaocheng between January 2013 and July 2014 were selected as a control group, while another 95 patients who were hospitalized between August 2014 and December 2015 were selected as a treatment group. The patients in the control group received conventional nursing in the Department of Cardio-Thoracic Surgery, while the patients in the treatment group received ERAS on the basis of conventional nursing. The positive rate and level of PTSD symptoms of the patients in the two groups were then evaluated with PCL-C Scale.Results The positive rates of the patients in the treatment group and the control group were 3.16% and 10.53%, respectively (χ2=4.046,P<0.05). The PCL-C scores at different time were statistically different between the patients in the two groups(F=135.15,P<0.05),the PCL-C scores were statistically different between the patients in the two groups(F=33.84,P<0.05),and there were interaction between time and intervention (F=8.47, P<0.01). The positive rates of higher awareness, emphasis on experience and evasion/numbness symptoms of the patients in the treatment group were 21.89%, 12.42% and 10.83%, lower than those of the patients in the control group 28.42%, 15.16% and 14.73% (χ2=16.118, 4.489, 13.678;P<0.01).Conclusions The concept of ERAS used during the perioperative period of cardiac surgery can effectively reduce the incidence and level of PTSD symptoms.
