【摘要】 背景:心脏手术后恢复初期,患者常常处于一种应激状态,不能保持良好的身心健康。为了促进患者术后恢复,评估其压力源,可以有效地帮助患者应对压力。目的:调查心脏手术后患者所面临的压力,分析其压力水平。设计:调查研究。单位:中国医科大学附属第一医院外科。对象:以1999-11/2000-03中国医科大学附属第一医院心脏外科收治的心脏瓣膜置换术后,从ICU病房转到普通病房第2天患者66例为研究对象。纳入本实验中64例,男34例,女30例,均为自愿。方法:以Lazarus和Folkman的压力模式为理论框架,测量工具是在Carr,Power和Connelly的心理压力评估方法的基础上建立的,采用问卷调查法对64例心脏手术后患者进行压力源调查与评估。主要观察指标:心脏手术后患者压力源和压力水平。结果:①患者对总体压力源的压力评估在中等水平(2.59±0.70),其中与疾病有关的压力源的压力评估均值(2.71±0.71)高于与医院环境有关的压力源的压力评估均值(2.28±0.76),二者的压力评估均为中等水平。②在与疾病有关的压力源中,“疼痛或不舒适”发生频率为100%,“不确定的术后结果”压力评估均值为(3.12±0.88)。③在与医院环境有关的压力源中,“同其他患者共住一房间”发生频率为75%,“必须依赖他人”压力评估均值为(3.24±0.87)。结论:在与疾?更多还原

【Abstract】 BACKGROUND:During the early recovery period after heart operation,patients are usually in a stressful situation and cannot successfully maintain good physical and mental health.Evaluating the stress source is helpful for patients to cope with his /her stress effectively in order to promote their postoperative recovery. OBJECTIVE:To investigate the stress and analyze the stressful level of patients after heart operation.DESIGN:An investigating study.SETTING:Surgery Department of the First Affiliated Hospital of China Medical University. PARTICIPANTS:The subjects were totally the 66 patients with cardiac valve replacement operation in the second day after transferring from ICU to the general ward of the Department of Cardiac Surgery of the First Affiliated Hospital of China Medical University during November 1999 to March 2000.Of them,64 patients participated in this experiment,34 men and 30 women,voluntarily. INTERVENTIONS:The theoretical frame was the stress patterns by Lazarus and Folkman.The measurement means was established on the basis of psychological stress measurement method by Carr,Power and Connelly.The investigation and evaluation of stress source of the 64 patients with heart operation were carried out with the method of questionnaire. MAIN OUTCOME MEASURES:Stress source and stress level of the patients after heart operation. RESULTS:①The stress evaluation of the total stress source of patients were on the median level(2.59±0.70). The mean appraisal value of stress source relating to disease(2.71±0.71) was higher than that relating to hospital environment(2.28±0.76),and both of them were on the median level.②In the stress source relating to diseases, occurrence of “pain or discomfort”was 100%,and the stress evaluation value of “uncertain operation result”was(3.12±0.88).③In the stress source relating to hospital environment, occurrence of “sharing room with others”was 75%, and the stress evaluation value of “depending on others”was(3.24±0.87).CONCLUSION:In the stress source relating to disease, the most common one is“pain or discomfort”;However,the stress source with the highest stress is “uncertain operation result”.In the stress source relating to hospital environment, the most common one is “sharing room with others”;However, the stress source with the highest stress is“depending on others”.All of them are on the moderate level.更多还原