摘要
目的:探讨分析个性化干预联合心理干预对高血压脑出血患者术后焦虑抑郁、生活质量和满意度的影响。方法:以本院收治的128例行手术治疗的高血压脑出血患者为研究对象,将所选患者按照干预方式的不同分为观察组与对照组,每组各64例,对照组患者接受常规干预,观察组患者在对照组基础上给予个性化干预联合心理干预。回顾性分析两组患者的临床资料,比较两组患者在干预前后的心理状况、生活质量及干预满意度。结果:干预1个月、3个月后观察组患者的SAS(t=-4.889,-10.440;P<0.001)、SDS评分(t=-4.412,-7.525;P<0.001)均显著低于对照组。干预3个月后,观察组生活质量各维度评分均明显高于对照组(t=25.643,19.945,29.795,28.538,14.690,21.262;P<0.001);观察组患者干预满意度93.75%,明显高于对照组的79.69%(χ^2=5.494,P<0.05)。结论:对高血压脑出血患者实施个性化干预联合心理干预,可以有效改善患者术后不良心理状况,提高干预满意度,促进患者身体、心理、社会等功能达到最优化,提高术后生活质量。
Objective:To explore the effects of individualized intervention combined with psychological intervention on postoperative anxiety and depression,quality of life and satisfaction of patients with hypertensive intracerebral hemorrhage.Methods:A total of 128 patients with hypertensive intracerebral hemorrhage treated by operation in the hospital were observed and studied,and the patients were divided into observation group and control group according to the different intervention methods,with 64 cases in each group.Control group received routine intervention,and observation group was given individualized intervention combined with psychological intervention at the same time on the basis of control group.The clinical data of two groups were analyzed retrospectively,and the psychological status,quality of life and intervention satisfaction were compared between the two groups before and after nursing.Results:After 1 month and 3 months of intervention,the scores of SAS(t=-4.889,-10.440;P<0.001)and SDS(t=-4.412,-7.525;P<0.001)in observation group were significantly lower than those in control group.After 3 months of intervention,the scores of dimensions of quality of life in observation group were significantly higher than those in control group(t=25.643,19.945,29.795,28.538,14.690,21.262;P<0.001).The intervention satisfaction in observation group was significantly higher than that in control group(χ^2=5.494,P<0.05).Conclusion:Individualized intervention combined with psychological intervention in patients with hypertensive intracerebral hemorrhage can effectively improve the postoperative poor psychological status,improve intervention satisfaction,promote the physical,psychological,social and other functions to achieve optimization,and improve postoperative quality of life.
作者
吴雅兰
袁玉明
李宝云
刘强鑫
WU Yalan;YUAN Yuming;LI Baoyun(Department of Neurosurgery,Huanggang Central Hospital,Huanggang 438000,China)
出处
《中国健康心理学杂志》
2020年第5期681-684,共4页
China Journal of Health Psychology
基金
湖北省自然科学基金(编号:2016CFB654)。
关键词
个性化干预
心理干预
高血压脑出血
焦虑抑郁
生活质量
干预满意度
Individualized intervention
Psychological intervention
Hypertensive intracerebral hemorrhage
Anxiety and depression
Quality of life
Intervention satisfaction
