摘要
目的 探讨术后早期活动对冠脉造影患者舒适度和出血的影响。方法 实验组在术后 3h进行床上活动 ,12h下床 ;对照组患肢制动 6h ,卧床休息 12h。用Christenson法评估血肿、McGill疼痛强度指数评估腰背痛、Spilberg er焦虑自评量表评定焦虑。结果 经统计学处理 ,2组伤口出血没有明显差异 ,但术后 6h 2组的腰背痛和焦虑有明显差别。结论 术后 3h床上活动是安全的 ,且能有效提高患者的舒适度。
Objective\ To examine the effects of movement in bed at 3 and 6 hours on delayed bleeding, pain, and anxiety in patients after coronary arteriography (CAG). Methods\ The experimental group move in bed at 3 hours after CAG; the control group move in bed at 6 hours. Delayed bleeding was evaluated by bloody drainage through a standard gauze pressure dressing and diagnosed in the presence of a palpable hematoma greater than 5 cm in width. McGillr's\ Present Pain Index and Spilberger's State-Trait Anxiety Inventory were used to evaluate patient comfort at 6 hours after CAG. Results\ None of the patients experienced any delayed bleeding.Student's t test was used to compare pain levels and anxiety scores. Patients who move earlier in bed had significantly less pain overall (P<0.005) at 6 hours after CAG. There was signigicant difference in the anxiety scores. Conclusion\ The significant decrease in pain overall and anxiety who moved in bed earlier demonstrate the need to consider patient comfort as well as the potential risks and sequelae of delayed bleeding.
出处
《实用护理杂志》
北大核心
2002年第4期54-55,共2页
Journal of Practical Nursing
