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Objective@#To investigate and summarize the effect of narrative nursing on anxiety and depression in patients undergoing coronary artery bypass grafting, and to provide reference for the formulation of clinical nursing plan.@*Methods@#A total of 61 patients underwent coronary artery bypass grafting were selected. 31 cases of narrative nursing were taken as the research group, and routine nursing was used in the other 30 cases as control group. Depression and anxiety were assessed by Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS) before, 7 days after and 14 days after surgery.@*Results@#Totally 61 patients were successfully operated and no case died during hospitalization. There was no significant difference in SAS and SDS scores between the 2 groups before surgery. The SAS scores in the study group were 57.9±4.2, 50.8±4.9, 47.1±5.0 on the day of admission,7 days after operation and 14 days after operation, respectively, while those in the control group were 58.4±3.7, 57.9±5.2, 55.7±6.2. There were significant differences between the two groups after intervention (t=5.490, 5.973, P<0.01). The SAS score of the study group decreased 7 days after operation and 14 days after operation compared with that of the admission day (t= 6.125, 9.209, P < 0.01). The SDS scores in the study group were 54.3±4.6, 49.4±4.7, 42.7±4.8 on the day of admission,7days after operation and 14 days after operation, respectively, while those in the control group were 54.1±5.1, 52.3±5.6, 51.6±5.2. There were significant differences between the two groups after intervention (t=2.194, 6.949, P<0.01). SDS scores in the study group decreased 7 days after operation and 14 days after operation compared with the day of admission in this group, with significant differences (t=4.148, 9.715, P < 0.01).@*Conclusions@#Narrative nursing is helpful to relieve anxiety and depression in patients undergoing coronary artery bypass grafting.
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Objective To test the reliability and validity of the Chinese version of the Comprehensive Needs Assessment Tool (CNAT) in cancer patients.Methods We translated the scale following the translation-integrationback translation-expert review procedure,conducted a pilot study among 30 cancer patients.After modifying the scale to adapt to Chinese culture,the reliability and validity of the CNAT scale was tested in a large-scale sample of 300 patients.Results The Chinese version of CNAT had 59 items with a total of seven domains.Principal component analysis resulted in an 8-factor structure explaining 70.325％ of the total variance.The Cronbach's α coefficient for the total CNAT score was 0.952,and 0.824～0.948 for every domain.Test-retest reliability was 0.807 for the overall scale,and 0.790～0.902 for every domain.The split-half for the overall scale was 0.812,and for every domain were 0.732～0.835.Conclusion The Chinese version of CNAT appears to possess adequate validity,testretest reliability and internal consistency.The newly translated Chinese version of CNAT may be used to assess the comprehensive needs of cancer patients in China.
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Objective To investigate the nursing needs of patients with depression before coronary artery bypass surgery(CABG), so as to provide the basis for such patients for psychological nursing. Methods The phenomenological research methods of qualitative research were used. Fourteen patients were interviewed with semi structural interview. Colaizzi analytical method was used to process and analyze the data. Results The nursing needs of patients with depression before CABG included six themes: the needs of security; the needs of love and belonging; self-realization demand; the needs of disease related information; the needs of economic support ;the needs of psychological treatment. With different levels of depression and different features, patients`nursing needs were different. Conclusions The patients with depression before CABG have complicated requirements, the medical workers should transform nursing mode and give specific guidance in order to meet the needs of the patients.
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@#Objective To observe the effects of continuous rehabilitation exercise on emotion and quality of life after emergency percutaneous coronary intervention (PCI). Methods From June, 2013 to December, 2014, 95 acute myocardial infarction (AMI) patients underwent emergency PCI were divided into intervention group (n=47) and control group (n=48) randomly. The control group accepted routine medicine and rehabilitation exercise for a week, while the intervention group accepted incremental exercise in hospital and rehabilitation exercise intervention after discharged. They were assessed with Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and WHO Quality of Life-BREF (WHOQOL-BREF) 3 months, 6 months, 12 months after PCI, and the cardiovascular events were recorded. Results The scores of SAS and SDS declined in both groups after PCI (F>27.394, P<0.001), and were less in the intervention group than in the control group (F>2.681, P<0.05). Meanwhile, the physiological, psychological, social relations and environmental scores of WHOQOL-BREF increased in both groups (F>10.394, P<0.001), and the physiological, psychological, social relation scores were more in the intervention group than in the control group (F>2.671, P<0.05), but the environmental score was not significantly different (F<0.568, P>0.05). The incidences of angina pectoris (12.8% vs. 29.2%) and re-infarction (0 vs. 10.4%) were less in the intervention group than in the control group within 12 months after PCI (P<0.05). Conclusion Continuous rehabilitation exercise can improve the long-term emotion and quality of life in patients after emergency PCI, and prevent the cardiovascular events.
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<p><b>OBJECTIVE</b>To observe the psychological experience of patients with acute myocardial infarction (AMI) during hospitalization.</p><p><b>METHODS</b>From November 2012 to February 2013, semi-structured interviews were conducted in 10 patients with AMI in the Cardiovascular Department of First Affiliated Hospital of Henan University of Science and Technology. Grounded theory approach was performed to analyze the collected data.</p><p><b>RESULTS</b>The 6 themes and 3 secondary themes during their hospitalization were: helplessness and dependence when AMI was diagnosed fear of immediate death induced by AMI, confusion on various problems such as operation time, excretory after PCI and limited knowledge details, the feel of safety after PCI, the fear of AMI, and the worry about overtreatment.</p><p><b>CONCLUSIONS</b>Hospitalized AMI patients have complicated psychological responses. Medical staff should provide targeted strategies and timely communication with AMI patients to reduce their psychological burden.</p>