摘要
目的:探讨压力与应激理论在高血压脑出血患者中的应用效果。方法:前瞻性选取2021年3月1日~2023年3月31日收治的96例高血压脑出血患者为研究对象,按照随机数字表法分为研究组和对照组各48例,对照组给予常规干预,研究组采用压力与应激理论干预,并分析出院准备度、积极度与疾病不确定相关性;比较两组出院准备度,干预前后积极度[采用积极度量表(PAM)]、疾病不确定[采用中文版Mishel疾病不确定感量表(MUIS)]、神经功能缺损程度[采用美国国立卫生研究院脑卒中量表(NIHSS)]、生活质量[采用脑卒中影响量表(SIS)],并发症发生情况。结果:研究组疾病知识、预期社会支持、院外应对能力、自身状况得分及出院准备度量表总分均高于对照组(P<0.01);两组干预1、2个月后PAM、MUIS评分均优于干预前(P<0.05),且干预2个月后评分优于干预1个月后(P<0.05);研究组干预1、2个月后PAM、MUIS均优于对照组(P<0.01);Spearman相关性显示,积极度与出院准备度呈正相关(P<0.05),疾病不确定与出院准备度呈负相关(P<0.05),积极度与疾病不确定呈负相关(P<0.05);干预2个月后,两组NIHSS、SIS评分均低于干预前(P<0.05),且研究组低于对照组(P<0.01);研究组并发症总发生率低于对照组(P<0.05)。结论:将压力与应激理论应用于高血压脑出血患者中,可有效改善患者出院准备度,增加积极性与缓解疾病不确定感,进而促进患者神经功能恢复,降低并发症发生率,提高患者生活质量。
Objective:To explore the application effect of stress and stress theory in patients undergoing hypertensive intracerebral hemorrhage.Method:A prospective study was conducted on 96 patients with hypertensive intracerebral hemorrhage admitted from March 1,2021 to March 31,2023.They were randomly divided into a study group and a control group,with 48 cases in each group,using a random number table method.The control group received routine intervention,while the study group received stress and stress theory intervention,analysis discharge readiness,positivity and the sense of discase uncertainty.The readiness for discharge,before and after intervention positivity using the patient activation measure(PAM),disease uncertainty using the the Chinese version of the Mishel uncertainty in illness scale(MUIS),degree of neurological deficits using the National Institutes of Health Stroke Scale(NIHSS),quality of life using the Stroke Impact Scale(SIS),and incidence of complications were compared between two groups.Results:The study group had higher disease knowledge,expected social support,out of hospital coping ability,self-condition scores,and total scores on the discharge readiness scale than the control group(P<0.01).After 1 and 2 months of intervention,the PAM and MUIS scores of both groups were better than those before intervention(P<0.05),and the scores after 2 months of intervention were better than those after 1 month of intervention(P<0.05).After 1 and 2 months of intervention,the PAM and MUIS scores in the study group were better than those in the control group(P<0.01).Spearman correlation analysis showed a positive correlation between before and after intervention positivity and discharge readiness(P<0.05),a negative correlation between disease uncertainty and discharge readiness(P<0.05),and a negative correlation between before and after intervention positivity and disease uncertainty(P<0.05).After 2 months of intervention,the NIHSS and SIS scores of both groups were lower than those before intervention(P<0.05),an
作者
张艳华
白冰
杨木林
Zhang Yanhua;Bai Bing;Yang Mulin(The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)
出处
《齐鲁护理杂志》
2024年第7期14-17,共4页
Journal of Qilu Nursing
关键词
高血压脑出血
手术
压力与应激理论
生活质量
Hypertensive intracerebral hemorrhage
Surgery
Stress and stress theory
Quality of life
