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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?
Background: In the early post-cardiac surgery recovery, patients are often in a state of stress and can not maintain good physical and mental health. In order to promote the recovery of patients after surgery, assess the source of stress, can effectively help patients cope with stress. PURPOSE: To investigate the stress faced by patients after cardiac surgery and analyze their stress levels. Design: Research. Unit: First Affiliated Hospital of China Medical University Surgery. PARTICIPANTS: Sixty-six patients who were transferred from the ICU ward to the general ward on the second day after the heart valve replacement were enrolled in the Department of Cardiology, the First Affiliated Hospital of China Medical University from November 1999 to March 2000 were enrolled. 64 cases included in this experiment, 34 males and 30 females, all voluntary. Methods: Based on the stress model of Lazarus and Folkman, the measurement tools were established on the basis of Carr, Power and Connelly psychological stress assessment methods. The questionnaire survey was used to investigate the pressure source in 64 post-cardiac surgery patients . MAIN OUTCOME MEASURES: Patient stressor and stress levels after cardiac surgery. Results: (1) Patients’ pressure on the general stressor was estimated to be at a moderate level (2.59 ± 0.70), with the pressure-mean stress-related assessment mean (2.71 ± 0.71) for disease-related stressors being higher than the pressure assessment mean 2.28 ± 0.76), both of which were moderately stress-assessed. ② In the disease-related stressors, the frequency of “pain or discomfort” was 100%, and the mean of “uncertain postoperative outcomes” was (3.12 ± 0.88). ③ In stressors related to the hospital environment, the frequency of “sharing a room with other patients” was 75%, and that of “having to rely on others” was (3.24 ± 0.87). Conclusion: In the disease?