Effects of structural psychological nursing on sense of uncertainty and adverse cardiovascular events in patients with PCI
10.3760/cma.j.issn.1674-2907.2017.20.010
- VernacularTitle:结构式心理护理对经皮冠脉介入治疗患者疾病不确定感及心血管不良事件的影响
- Author:
Fang ZHANG
1
;
Cuixiang LI
;
Xiangqin SONG
;
Xinxia WANG
;
Shan LIU
Author Information
1. 滨州医学院附属医院心内科
- Keywords:
Structural psychological nursing;
Percutaneous coronary intervention;
Sense of uncertainty;
Adverse events
- From:
Chinese Journal of Modern Nursing
2017;23(20):2615-2618
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of the structural psychological nursing on the sense of uncertainty and adverse cardiovascular events (ACE) in patients with PCI.Methods Totals of 98 PCI patients who admitted to the Cardiology Department of Affiliated Hospital of Binzhou Medical College from June 2015 to May 2016 were selected into the study. The participants were divided into the control group (n=49) and the intervention group (n=49) according to a random number table. Based on the routine nursing care, the intervention group received an additional structural psychological care. To compare the state of pre operative mood and postoperative mood, the sense of uncertainty one day before and after PCI, and the incidence of ACE three months after PCI between the two groups.Results Patients in the intervention group had a better state of mood after the intervention compared with the control group. The sense of uncertainty was similar before the operation (P>0.05) but was significantly different between the two groups after the operation (t=4.635, 3.265, 4.012;P<0.01). In the intervention group, the scores of undefined diagnosis, complexity, and sense of uncertainty to the disease was (35.63±5.96), (21.26±3.01) and (56.89±5.84). After three months, the vasovagal reflectivity and incidence of hematoma on the puncture site had significant differences between the two groups (P<0.05), but had limited difference in the incidence of myocardial infarction or angina recurrence rate (P>0.05).Conclusions The structural psychological nursing can effectively prevent the sense of uncertainty and adverse cardiovascular events in patients with PCI.
