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目的解除体外循环下心内直视手术后入住ICU患者的心理异常表现,促进术后康复,缩短住ICU时间,提高手术成功率。方法对140例体外循环下心内直视手术后入住ICU患者的心理异常表现,通过术前访视,介绍ICU环境及医护人员,做好术前指导,麻醉清醒时及时向患者介绍手术情况,气管插管期间运用非语言方式与患者交流,对于拔除气管插管后特别是需长时间住ICU患者给予正确的指导解释,解除患者异常心理表现。结果 140例外循环下心内直视手术后入住ICU患者,通过心理护理后,心理异常表现都得到减轻或解除,均痊愈出院。结论对体外循环下心内直视手术后入住ICU患者,给予有效的术前访视心理护理,良好的术后心理护理,对术后的康复极其重要。
Objective To relieve the psychological abnormalities of patients admitted to ICU after open heart surgery under cardiopulmonary bypass, promote postoperative rehabilitation, shorten the ICU time and improve the success rate of operation. Methods 140 patients undergoing cardiopulmonary bypass open heart surgery admitted to the ICU patients with psychological abnormalities through preoperative visit, introduced the ICU environment and medical staff, good preoperative guidance, anesthesia and timely notification to patients when the surgery, trachea Use of non-verbal way to communicate with patients during intubation, removal of endotracheal intubation, especially long-term ICU patients need to give the correct guidance to explain the lifting of abnormal psychology patients. Results 140 cases of ICU patients undergoing cardiac surgery after open heart surgery were relieved or relieved of psychological abnormalities after psychological nursing. All patients were cured and discharged. Conclusion It is very important to give preoperative visit psychological care and good postoperative psychological care to patients admitted to ICU after cardiopulmonary bypass.