Objective:To explore the current status and influencing factors of psychological resilience of patients with acute aortic dissection, and analyze the correlation between psychological resilience and social support of patients.Methods:From August 2018 to December 2019, convenience sampling method was used to select 130 patients with acute aortic dissection hospitalized in Nanjing Drum Tower Hospital as the research object. The Basic Information Questionnaire, the Connor-Davidson Resilience Scale (CD-RISC) and the Social Support Rating Scale (SSRS) were used to investigate the psychological resilience and social support of patients. SPSS 19.0 was used for statistical analysis of the data.Results:Among those acute aortic dissection patients, the scores of psychological resilience and social support were (67.44±15.56) and (42.07±7.22) respectively. Univariate analysis showed that patients with different family relationships and family income per capita had statistically significant differences in their psychological resilience scores ( t=13.264, 4.440; P<0.01) . Correlation analysis showed that the psychological resilience of patients with acute aortic dissection was positively correlated with the level of social support ( r=0.211, P<0.05) . Multiple linear regression indicated that family relationships and family income per capita were the influencing factors of patients' psychological resilience (adjust R2=0.129, P<0.05) . Conclusions:The psychological resilience of patients with acute aortic dissection is at a moderate level, and they have certain psychological recovery capabilities. Nursing staff should help patients make full use of their mental recovery capabilities, and provide necessary social support, so as to improve their psychological resilience and promote mental health.

ObjectiveTo explore the feasibility and safety of preoperative cardiac rehabilitation (CR) nursing intervention in patients with severe valvular disease, and to evaluate the effect of preoperative exercise-mediated cardiac rehabilitation nursing on the clinical outcomes of patients after operation. MethodsFrom January to December of 2017, 108 patients with advanced valvular heart disease (AVHD) admitted in Department of Cardiothoracic Surgery, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School were selected based on the diagnostic standard for AVHD. The AVHD patients should not be younger than 18 years old, left ventricular ejection fraction(LVEF) less than 40%, and need repair of interventricular septal perforation, resection of ventricular aneurysm and radiofrequency ablation of surgical atrial fibrillation simultaneously. Random number method was used to divide the patients into control group and cardiac rehabilitation nursing intervention group (CR group). Mitral and aortic valve lesions were the main types of valvular lesions in the two groups, and the principles of preoperative treatment were the same. Patients in the control group received routine nursing after admission. The patients in the observation group were evaluated by 6 minute walking test (6MWT) after admission. According to the distance of 6MWT, MOTO Med nursing intervention was carried out in gradeⅠ andⅡ. Frequency was once a day, 30 minutes each time, the first movement resistance was 1 kg, and was adjusted appropriately according to the individual situation. Exercise training and aerobic training were carried out for gradeⅢ andⅣ, with emphasis on lower limb muscles, abdominal muscles and ectopectoralis once a day for 20 minutes each time. ResultsThere was no significant difference in hospital stay, ICU stay time and mechanical ventilation time between the two groups (P＞0.05). The LVEF value of CR group was significantly higher than that of control group at the early stage after operation [(42.5±6.2) vs .(31.0±4.5),P＜0.001)]. The 6 MWT (P=0.009) and self-management(Barthel) score (P=0.001) of CR group were better than those of control group. There was no significant difference in quality of life between the two groups 30 days after operation(P＞ 0.05). ConclusionsPreoperative cardiac rehabilitation nursing intervention can effectively improve the cardiac function of patients with severe valvular disease early after operation, increase the early exercise tolerance of patients after operation, improve the early self-care ability of patients after operation, and help patients recover better and faster.