移動端互動游戲對緩解心臟病患者術前焦慮的影響評價

季景媛　趙錦　莊媛

摘 要：目的 探討移動端互動游戲對緩解心臟病患者術前焦慮的影響。方法 選擇本院2017年1月～2018年1月收治的心臟病患者72例作為研究對象，隨機分為對照組及觀察組各36例，對照組為常規優質護理服務，觀察組則增加移動端互動游戲干預，觀察兩組術前焦慮水平、生命體征及術后疼痛程度。結果 術前1 d兩組患者焦慮程度比較，差異無統計學意義（P>0.05）；術前30 min兩組患者焦慮水平均出現變化，其中觀察組焦慮評分低于對照組（P<0.05）；術前1 d兩組患者心率水平比較，差異無統計學意義（P>0.05）；術前30 min兩組患者心率水平均出現變化，其中觀察組心率低于對照組，差異有統計學意義（P<0.05）；術前1 d，兩組收縮壓和舒張壓比較，差異無統計學意義（P>0.05）；術前30 min兩組患者收縮壓和舒張壓均出現變化，其中觀察組收縮壓低于對照組（P<0.05），但兩組舒張壓比較，差異無統計學意義（P>0.05）。結論 針對心臟病患者在護理中加入移動端互動游戲干預可進一步緩解其術前焦慮水平，確保其穩定生命體征，并緩解術后疼痛，提高患者生活質量。

關鍵詞：移動端互動游戲；心臟病；焦慮程度

中圖分類號：R473.6 文獻標識碼：A DOI：10.3969/j.issn.1006-1959.2018.22.055

文章編號：1006-1959（2018）22-0181-03

Evaluation of the Effect of Mobile Interactive Games on Relieving Preoperative Anxiety in Patients with Heart Disease

JI Jing-yuan，ZHAO Jin，ZHUANG Yuan

（Department of Cardiology Surgery，Tianjin Chest Hospital，Tianjin 300222，China）

Abstract：Objective To investigate the effect of mobile interactive games on relieving preoperative anxiety in patients with heart disease. Methods From January 2017 to January 2018， 72 patients with heart disease were selected，the patients were randomly divided into control group （n=36） and observation group （n=36）.The control group was treated with routine quality nursing service， while the observation group added the mobile side interactive game intervention.The levels of anxiety，vital signs and postoperative pain were observed in both groups.Results There was no significant difference in anxiety between the two groups 1 d before operation （P>0.05）.The anxiety level of the two groups changed 30 min before operation， and the anxiety score of the observation group was lower than that of the control group（P<0.05）；There was no significant difference in heart rate between the two groups 1 d before operation（P>0.05）.Heart rate changes in both groups at 30 min before operation and the heart rate in the observation group was significantly lower than that in the control group，the difference was statistically significant（P<0.05）.There was no significant difference in systolic and diastolic blood pressure between the two groups 1 d before operation （P>0.05）.Systolic blood pressure and diastolic blood pressure were changed in both groups 30 min before operation， and the systolic blood pressure in the observation group was lower than that in the control group（P<0. 05），but there was no significant difference in diastolic blood pressure between the two groups （P>0.05）.Conclusion For the patients with heart disease， the intervention of mobile side interactive games can further alleviate the anxiety level before operation， ensure the stability of vital signs， relieve postoperative pain and improve the quality of life of patients with heart disease.

Key words：Mobile interactive games；Heart disease；Anxiety level

心臟病（heart disease）患者手術前多依從性差，情緒波動大，且對術前診療活動存在嚴重焦慮心理，影響診療和患者身心健康。有研究顯示在心臟病患者術前給予移動端互動游戲干預，可以幫助其轉移注意力，穩定心理狀態，提高患者的依從性，提高圍術期的配合程度，避免情緒波，以保證手術順利開展 [1]，從而增強術后康復效果[2]。本次研究對移動端互動游戲對緩解心臟病患者術前焦慮情況進行評估，探討其可能的影響，報道如下。

1資料與方法