应用人文医学执业技能接诊模式干预非体外循环冠状动脉旁路移植术后存在焦虑倾向患者的效果研究

发布时间：2018-08-05 13:26

【摘要】：目的探讨应用人文医学执业技能接诊模式干预非体外循环冠状动脉旁路移植术(OPCAB)后存在焦虑倾向患者的效果。方法选取2014年9月—2016年3月在首都医科大学附属北京安贞医院心脏外科专家门诊就诊的OPCAB后第3个月末经医院焦虑抑郁量表(HAD)评估存在焦虑倾向的138例患者为研究对象。按照接诊医生接诊模式分为干预组79例和对照组59例。干预组应用人文医学执业技能接诊模式,对照组应用传统接诊模式,比较两组术后第3、6个月末HAD焦虑评分及自觉手术效果满意评分。结果两组患者术后第3个月末的HAD焦虑评分和自觉手术效果满意评分比较,差异无统计学意义(P0.05)。干预组患者术后第6个月末HAD焦虑评分低于对照组,自觉手术效果满意评分高于对照组(P0.01)。干预组患者第6个月末HAD焦虑评分低于第3个月末,自觉手术效果满意评分高于第3个月末(P0.05);对照组患者第6个月末HAD焦虑评分低于第3个月末,自觉手术效果满意评分高于第3个月末(P0.05)。结论人文医学执业技能接诊模式可以更加有效地缓解OPCAB后存在焦虑倾向患者的焦虑倾向,有利于提高患者的OPCAB效果满意度。
[Abstract]:Objective to investigate the effect of using humanistic medical practice skills to treat patients with anxiety tendency after off-pump coronary artery bypass grafting (OPCAB). Methods from September 2014 to March 2016, 138 patients with anxiety tendency were assessed by (HAD) at the end of the third month after OPCAB, which was attended by cardiac surgery specialist in Beijing Anzhen Hospital affiliated to Capital Medical University. The patients were divided into two groups: the intervention group (79 cases) and the control group (59 cases). The intervention group was treated with humanistic medical practice skills and the control group with the traditional mode. The HAD anxiety score and the satisfaction score of conscious operation were compared between the two groups at the 3rd and 6th month after operation. Results there was no significant difference in HAD anxiety score and satisfaction score between the two groups at the third month after operation (P0.05). The HAD anxiety score of the intervention group was lower than that of the control group at the 6th month after operation, and the satisfaction score of conscious operation was higher than that of the control group (P0.01). In the intervention group, the HAD anxiety score at the sixth month was lower than that at the third month, and the satisfaction score of the conscious operation was higher than that at the third month (P0.05), while the HAD anxiety score at the sixth month in the control group was lower than that at the third month. The satisfaction score was higher than that at the third month (P0.05). Conclusion the approach of humanistic medical practice can relieve the anxiety tendency of patients with anxiety tendency after OPCAB more effectively, and it is helpful to improve the satisfaction of patients with OPCAB effect.
【作者单位】：首都医科大学附属北京安贞医院;
【基金】：北京市教育规划“十二五”规划(DEB14142)
【分类号】：R654.2;R749.72

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