摘要
目的研究心理干预联合睡眠护理对颅内血肿清除术患者神经功能恢复及生活质量的影响。方法选取2018年1月~2019年1月在我院行颅内血肿清除术的114例患者为研究对象,采用随机数字表法分为对照组和观察组,各57例。对照组采用常规护理,观察组在常规护理基础上实施心理干预联合睡眠护理,比较两组神经功能缺损评分、生活质量SF-36量表评分、日常生活能力Barther评分以及护理满意度。结果干预后,观察组神经功能缺损评分低于对照组,差异有统计学意义(P<0.05);干预后观察组心理健康、社会功能、物质生活、活力、情感职能、生理功能评分高于对照组,差异有统计学意义(P<0.05);干预后,观察组Barther评分、护理满意度高于对照组,差异有统计学意义(P<0.05)。结论心理干预联合睡眠护理可促进颅内血肿清除术患者神经功能恢复,降低神经功能缺损评分,改善患者生活质量,增强患者日常生活能力,进一步提高护理满意度,对患者的康复具有重要的临床价值。
Objective To study the effect of psychological intervention combined with sleep nursing on neurological function recovery and quality of life in patients with intracranial hematoma removal.Methods A total of 114 patients undergoing intracranial hematoma removal in our hospital from January 2018 to January 2019 were selected as the research object.They were divided into a control group and an observation group with a random number table method,57 cases each.The control group adopted routine nursing,and the observation group implemented psychological intervention combined with sleep nursing on the basis of routine nursing.The two groups were compared with neurological deficit score,quality of life SF-36 scale score,daily living ability Barther score and nursing satisfaction.Results After intervention,the neurological deficit score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05);after intervention,the mental health,social function,material life,vitality,emotional function and physiological function score of the observation group were higher than that of the control group,the difference was statistically significant(P<0.05);after intervention,the Barther score and nursing satisfaction of the observation group were higher than the control group,the difference was statistically significant(P<0.05).Conclusion Psychological intervention combined with sleep care can promote the recovery of neurological function in patients with intracranial hematoma removal,reduce the score of neurological deficit,improve the quality of life of patients,enhance the daily life ability of patients,and further improve the satisfaction of nursing,which has important clinical value for the rehabilitation of patients.
作者
苏义文
SU Yi-wen(Department of Neurosurgery,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)
出处
《医学信息》
2020年第14期190-192,共3页
Journal of Medical Information
关键词
心理干预
睡眠护理
颅内血肿清除术
神经功能
生活质量
Psychological intervention
Sleep nursing
Intracranial hematoma removal
Nerve function
Quality of life