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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,承受较大的生理和心理负担,有效的应对策略能缓解因此产生的心理压力,有利于患者术后康复。目的:调查分析心脏手术后患者所采用的应对方法和策略。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:采用问卷调查法对64例心脏手术后患者进行心理压力应对策略的调查分析。采用Likert4分制量表测量患者所采用的应对策略。主要观察指标:心脏手术后患者应对方式和应对策略。结果:①“面对”应对方式中的“服从医生的安排”的应用率为97%(62/64)。②“逃避”应对方式中的“拒绝相信手术这一事实”的应用率为2%(1/64)。结论:应用最多的应对策略是“面对”应对方式中的“服从医护人员的安排”。应用最少的应对策略是“逃避”应对方式中的“拒绝相信手术这一事实”。
Background: In the early stage of resuscitation after cardiac surgery, patients are often in a state of stress and bear greater physical and psychological burden. Effective coping strategies can relieve the psychological stress caused thereby, which is beneficial to patients’ postoperative recovery. Objective: To investigate and analyze the coping strategies and strategies adopted by patients after cardiac surgery. 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: A questionnaire survey was conducted to investigate the psychological stress coping strategies in 64 patients after cardiac surgery. The Likert4 scale was used to measure the patient’s coping strategies. MAIN OUTCOME MEASURES: Patient coping style and coping strategy after cardiac surgery. Results: ① The application rate of “obedience to doctor” in “coping with” coping style was 97% (62/64). ② The application rate of “refusing to believe surgery” in the “avoidance” coping style is 2% (1/64). CONCLUSIONS: The most commonly used coping strategies are the “face-to-face” arrangements for “obedience to health care workers” in coping styles. The least-coping strategy is the “refusal to believe surgery” in the “evasion” coping style.