Influence Of Perioperatively Psychological Intervention On Negative Emotion And Complication Of Patients Undergoing Coronary Artery Bypass Grafting

Objectives:To investigate pre-operative and post-operative psychological condition of patients and its influencing factors, take psychotherapy and clinical conventional measures to improve the psychological state before receiving psychological intervention, and analyze the effect of psychological intervention on negative emotion and complication, and provide the evidence of evidence-based medicine for wide clinical applications.Methods:Patients undergoing coronary artery bypass grafting (CABG) were randomly divided into experimental group and control group. The experimental group included60patients (male:37;female:23), aged51to70years, mean age(55.88±11.67)years. The control group included60patients (male:29;female:31), aged49to68years, mean age (59.60±10.54) years. Before operation, psychological condition of patients in these two groups were investigated with the Symptom Checklist (SCL-90). Besides preoperative routine treatment for all patients, psychological intervention was done for patients in experimental group. The psychological state of patients was evaluated7days after surgery using the SCL-90. The data was analyzed with statistical software SPSS13.0.Results:(1)There were no significantly statistical differences of age, gender, educational level and duration of disease between these two groups(P>0.05); and all patients had no serious physical diseases.(2) Before surgery, SCL-90score of patients in two groups were above the threshold of norm, but there were no significant differences between these two groups (P>0.05).(3) Compared with preoperative scores, SCL-90scores of patients in the experimental group were significantly lower7days after intervention treatment (P<0.05); there were no significant differences of SCL-90scores before and after CABG in control group. (4) There were no significant differences of operative time, but ICU residence time, postoperative hospital stay time, ventilation time of the experimental group were less than the control group, and P values were less than0.005.Conclusions:Perioperative psychological intervention can significantly reduce postoperative anxiety and depression and other negative emotions, reduce the incidence of complications, shorter hospital stay, and improve the quality of life of patients after CABG.