甘婉瑜 肖彩斌

摘要目的：探究在心脏介入导管室护理中应用三阶段健康教育的必要性及对患者睡眠质量的影响。方法：选取2018年2月至2019年8月厦门大学附属心血管病医院收治的心脏介入性诊疗患者102例作为研究对象，按照随机数字表法随机分为观察组与对照组，每组51例。对照组进行常规健康教育，观察组进行三阶段健康教育。比较2组患者护理前后的睡眠质量评分、焦虑抑郁评分以及遵医行为情况。结果：护理前2组的睡眠质量评分及焦虑、抑郁评分比较，差异无统计学意义（P>005），护理后观察组的睡眠质量评分及焦虑、抑郁评分显著低于对照组，差异有统计学意义（P<005），观察组的良好作息、规范用药、手术配合度显著高于对照组，差异有统计学意义（P<005）。结论：三阶段健康教育可有效缓解心脏介入导管室患者的焦虑、抑郁情绪，提高患者的睡眠质量。

关键词心脏介入导管室;健康教育;焦虑;抑郁;生命质量;遵医行为

Necessity of applying Threestage Health Education in Cardiac Interventional Catheter Room Nursing and its Influence for Patients′ Sleep Quality

GAN Wanyu，XIAO Caibin

（Cardiovascular Hospital Affiliated to Xiamen University，Xiamen 361000，China）

AbstractObjective：To explore the necessity of applying threestage health education in nursing of cardiac interventional catheter room and its influence for patients′sleep qualityMethods：A total of 102 patients with interventional cardiac therapy in Cardiovascular Hospital Affiliated to Xiamen University from February 2018 to August 2019 were divided into observation group and control group with 51 cases in each group according to the random number tableThen the control group were with routine health education，the observation group were with threestage health educationThen the sleep quality，anxiety and depression scores before and after nursing，compliance behavior of two groups were comparedResults：The sleep quality，anxiety and depression scores of two groups before nursing were compared，there were no statistically significant differences（P>005），the sleep quality，anxiety and depression scores of observation group after nursing were significantly lower than those of control group，there were statistically significant differences（P<005），the degree of good rest，standardized medication and operation cooperation of observation group were significantly higher than those of control group，there were statistically significant differences（P<005）Conclusion：The threestage health education can effectively alleviate the negative emotions of anxiety and depression of patients in cardiac interventional catheter room，and improve the sleep quality of patients.

KeywordsCardiac interventional catheterization room; Health education; Anxiety; Depression; Quality of life; Medical compliance behavior

中圖分类号：R4735文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.008

临床治疗心血管疾病的主要治疗方式之一为心脏介入治疗，其通过对体表血管穿刺，借助数字减影持续投照，将特定心脏导管送至心脏，以诊断、治疗心脏病，具备成功率高、创伤小及安全性高等特征[1]。但是心脏介入治疗对护理人员的要求较高。护理人员要做好患者的健康教育工作，使患者了解治疗方法与流程，提高手术配合度，加快术后康复。多数患者在心脏介入治疗过程中，对导管室环境感到陌生，不了解手术具体流程，易出现焦虑、抑郁等负面情绪，对患者生命质量造成负面影响。因此，护理人员要对心脏介入患者加强健康教育[2]。本研究选取于本院接受心脏介入治疗的102例患者为研究对象，分别实施常规健康教育与三阶段健康教育，探究三阶段健康教育必要性及对患者睡眠质量产生的影响，现报道如下。