摘要
目的探讨叙事护理联合心理护理对颅内动脉瘤介入治疗患者心理状态及生存质量的影响。方法选取2020年7月至2021年7月惠东县人民医院神经外科收治的84例颅内动脉瘤介入治疗患者作为研究对象,按照就诊顺序分为研究组(42例)与参照组(42例),研究组采用叙事护理联合心理护理干预,参照组采用传统常规护理干预,比较两组患者的心理状态改变情况、生活质量情况及并发症发生情况。结果两组护理后的焦虑评分和抑郁评分低于护理前,且研究组护理后的焦虑评分和抑郁评分均低于参照组,差异有统计学意义(P<0.05)。两组护理后生存质量指标的社会功能、躯体功能、认知功能、角色功能评分高于护理前,且研究组护理后的生存质量指标各项评分均高于参照组,差异有统计学意义(P<0.05)。研究组护理后并发症总发生率为2.38%,低于参照组的28.57%,差异有统计学意义(P<0.05)。结论颅内动脉瘤介入治疗患者临床中应用叙事护理联合心理护理干预,能够有效改善患者担忧焦虑等负面情绪,提高其治疗自信心,控制并发症发生率达到预期临床疗效及生存质量,临床应用价值突出。
Objective To discuss the effect of narrative nursing combined with psychological nursing on psychological state and quality of life of patients undergoing interventional therapy for intracranial aneurysm.Methods From July 2020 to July 2021,84 patients with intracranial aneurysm interventional therapy treated in the Department of Neurosurgery of Huidong People′s Hospital were selected as the research objects.Patients were divided into study group(42 cases)and reference group(42 cases)according to the order of treatment.The study group used narrative nursing combined with psychological nursing intervention,the reference group used traditional conventional nursing intervention.The changes of mental state,quality of life and complications were compared between the two groups.Results The anxiety score and depression score of the two groups after nursing were lower than those before nursing,and the anxiety score and depression score of the research group after nursing were lower than those in the reference group,the differences were statistically significant(P<0.05).The scores of social function,physical function,cognitive function and role function of quality of life in the two groups after nursing were higher than those before nursing,and the scores of quality of life in the study group after nursing were higher than those in the reference group,the differences were statistically significant(P<0.05).The total incidence of post-nursing complications in the study group was 2.38%,lower than that in the reference group(28.57%),and the difference was statistically significant(P<0.05).Conclusion The clinical application of narrative nursing combined with psychological nursing intervention in patients with intracranial aneurysm interventional therapy can effectively improve patients′negative emotions such as anxiety,improve their confidence in treatment,control the incidence of complications and achieve the expected clinical efficacy and quality of life,with outstanding clinical application value.
作者
刘丽金
高银凤
徐冬梅
LIU Lijin;GAO Yinfeng;XU Dongmei(Department of Neurosurgery,Huidong People′s Hospital,Guangdong Province,Huizhou 516300,China)
出处
《中国当代医药》
CAS
2022年第20期177-180,共4页
China Modern Medicine
基金
广东省惠州市科技计划项目(2021WC0106048)。
关键词
生存质量评分
叙事护理
脑动脉瘤介入治疗
心理状态
Quality of life score
Narrative nursing
Interventional therapy for cerebral aneurysm
State of mind
