沈燕 刘晓艳 金晓艳

摘要 目的：研究延续性护理对冠心病术后心理弹性与睡眠质量影响。方法：选取2018年7月至2019年3月安徽蚌埠市第一人民医院进行手术的冠心病患者80例作为研究对象，随机分为对照组与观察组，每组40例。对照组进行常规护理，观察组进行延续护理，比较2组患者护理前后的心理弹性评分以及睡眠质量评分和护理满意率。结果：护理前，2组患者的心理弹性评分比较，差异无统计学意义（P>0.05）;护理后，观察组患者的心理弹性评分明显高于对照组;观察组睡眠质量评分明显优于对照组;观察组的护理满意率为95.00%，对照组为80.00%，观察组明显高于对照组，差异有统计意义（P<0.05）。结论：对冠心病术后患者实施延续性护理，可以有效改善患者的睡眠质量，提高术后的心理弹性评分以及护理满意率，值得在临床推广应用。

关键词 延续性护理;冠心病;术后心理弹性;睡眠质量

Abstract Objective：To study the effect of continuous nursing on the psychological elasticity and sleep quality after coronary heart disease operation.Methods：A total of 80 patients with coronary heart disease who were operated on in Bengbu first people′s Hospital from July 2018 to March 2019 were selected as the main study objects.The patients were randomly divided into control group and observation group，40 in each group.The control group was given routine nursing，and the observation group was given continuous nursing.The psychoelastic score，sleep quality score and nursing satisfaction rate of the two groups before and after nursing were compared.Results：Before nursing，there was no significant difference between the two groups（P>0.05）; after nursing，the score of the observation group was significantly higher than that of the control group; the sleep quality score of the observation group was significantly better than that of the control group; the nursing satisfaction rate of the observation group was 95.00%，and that of the control group was 80.00%，the difference was statistically significant（P<0.05）.Conclusion：Continuous nursing for patients with coronary heart disease after operation can effectively improve the sleep quality of patients，improve the psychological flexibility score and the satisfaction rate of nursing，which is worth popularizing in clinical practice.

Keywords Continuous nursing;Coronary heart disease;Postoperative resilience;Sleep quality

中圖分类号：R473.6;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2020.08.039

冠心病是临床中较为常见的心血管疾病，临床上对该病的治疗方式主要是进行冠状动脉搭桥术（CABG），临床效果十分显著[1]。但在手术结束后，若术后护理不当，所搭的“桥”将会出现堵塞，对患者的预后效果会造成一定的影响[2]。延续性护理主要是在常规护理上进行加强的一种护理模式，该护理模式可以有效提高护理效果，在临床上得到了广泛的应用。本文主要研究延续性护理对冠心病术后心理弹性与睡眠质量影响，现报道如下。

1 资料与方法

1.1 一般资料 选取2018年7月至2019年3月安徽蚌埠市第一人民医院进行手术的冠心病患者80例作为研究对象，随机分为对照组与观察组，每组40例。对照组中男20例，女20例，年龄23～53岁，平均年龄（37.35±2.36）岁，病程1～11年，平均病程（5.63±1.25）年;观察组中男22例，女18例，年龄22～52岁，平均年龄（36.54±2.14）岁，病程1～10年，平均病程（5.12±1.41）年。一般资料经统计学分析，差异无统计学意义（P>0.05），具有可比性。本研究经过我院伦理委员会批准并经患者及其家属知情同意。

1.2 护理方法