移動端互動游戲?qū)徑庑呐K病患者術(shù)前焦慮的影響評價(jià)

季景媛　趙錦　莊媛

摘 要：目的 探討移動端互動游戲?qū)徑庑呐K病患者術(shù)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(jī)分為對照組及觀察組各36例，對照組為常規(guī)優(yōu)質(zhì)護(hù)理服務(wù)，觀察組則增加移動端互動游戲干預(yù)，觀察兩組術(shù)前焦慮水平、生命體征及術(shù)后疼痛程度。結(jié)果 術(shù)前1 d兩組患者焦慮程度比較，差異無統(tǒng)計(jì)學(xué)意義（P>0.05）；術(shù)前30 min兩組患者焦慮水平均出現(xiàn)變化，其中觀察組焦慮評分低于對照組（P<0.05）；術(shù)前1 d兩組患者心率水平比較，差異無統(tǒng)計(jì)學(xué)意義（P>0.05）；術(shù)前30 min兩組患者心率水平均出現(xiàn)變化，其中觀察組心率低于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；術(shù)前1 d，兩組收縮壓和舒張壓比較，差異無統(tǒng)計(jì)學(xué)意義（P>0.05）；術(shù)前30 min兩組患者收縮壓和舒張壓均出現(xiàn)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(tǒng)計(jì)學(xué)意義（P>0.05）。結(jié)論 針對心臟病患者在護(hù)理中加入移動端互動游戲干預(yù)可進(jìn)一步緩解其術(shù)前焦慮水平，確保其穩(wěn)定生命體征，并緩解術(shù)后疼痛，提高患者生活質(zhì)量。

關(guān)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(xiàn)標(biāo)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(shù)前多依從性差，情緒波動大，且對術(shù)前診療活動存在嚴(yán)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(shù)前給予移動端互動游戲干預(yù)，可以幫助其轉(zhuǎn)移注意力，穩(wěn)定心理狀態(tài)，提高患者的依從性，提高圍術(shù)期的配合程度，避免情緒波，以保證手術(shù)順利開展 [1]，從而增強(qiáng)術(shù)后康復(fù)效果[2]。本次研究對移動端互動游戲?qū)徑庑呐K病患者術(shù)前焦慮情況進(jìn)行評估，探討其可能的影響，報(bào)道如下。

1資料與方法