Effect of psychological nursing care on patients taking cardiothoracic surgery

Abstract

Objective To explore the effect of psychological nursing care on patients taking cardiothoracic surgery. Methods 100 patients taking cardiothoracic surgery at the department of thoracic surgery of our center from January, 2014 to October, 2015 were randomly divided into a control group and an experimental group, 50 for each group. The control group were peri-operatively and routinely cared; in addition, the experimental group were psychologically cared. The relevant clinical parameters at each time point, psychological symptoms, clinical indicators, cognition, mood disorders, and family satisfaction were compared between these two groups. Results At the beginning of the operation, the heart rate and systolic blood pressure were (93.88 ± 15.12) beats/min and (112.09 ± 12.35) mmHg (1 mmHg = 0.133 kPa) in the experimental group, which were significantly lower than those in the control group. After intervention, the scores of anxiety, depression, obsession, fear, and somatization were (1.30±0.37) , (1.39±0.44) , (1.53±0.46) , (1.67±0.53) , and (1.50±0.44) in the experimental group, which were significantly lower than those in the control group; the hospital stay, assisted ventilation time, and incidence of mood disorders were (8.12±2.45) d, (8.32±2.80) h, and 6% in the experimental group, which were significantly lower than those in the control group; the nursing satisfaction of family members was significantly better in the experimental group than in the control group; with statistical differences (P<0.01). Conclusions Psychological nursing intervention for the patients’ mental state after cardiothoracic surgery is significantly effective and can increase satisfaction, so it is of reference. Key words: Cardiothoracic surgery; Psychological care; Mood disorders; Satisfaction