摘要
目的:探讨PERMA心理干预联合感觉统合训练,对颅内动脉瘤(ICA)患者术后神经功能与生存质量的影响.方法:选取2020年1月至2022年10月在本院诊治的80例ICA患者为研究对象.所有患者都采用外科手术治疗,根据术后采取的护理模式,将患者分别纳入联合组(n=40,采取PERMA心理干预联合感觉统合训练措施)和对照组(n=40,仅采取感觉统合训练干预措施).对两组患者均持续干预3个月.采用美国国立卫生研究院卒中量表(NIHSS)评分,对患者神经功能进行评估;生存质量采用欧洲癌症研究与治疗组织生命质量测定量表(EORTC QLQ-C30)进行评定.采取统计学分析方法,比较两组患者神经功能、生存质量、血清炎性因子水平及干预期间并发症发生率.结果:干预后,联合组患者NIHSS评分低于对照组,差异有统计学意义(P<0.05);联合组患者EORTC QLQ-C30评分高于对照组,差异均有统计学意义(P<0.05);联合组患者血清白细胞介素(IL)-6与肿瘤坏死因子(TNF)-α水平,均低于对照组,差异均有统计学意义(P<0.05).干预期联合组患者并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论:术后采取PERMA心理干预联合感觉统合训练,可改善ICA患者神经功能,降低并发症发生率,还可抑制炎症因子释放,提高患者生存质量.
Objective:To explore the effects of PERMA psychological intervention combined with sensory integration training on postoperative neurological function and quality of life in patients with intracranial aneurysm(ICA).Methods:A total of 80 patients with ICA in our hospital from January 2020 to October 2022 were selected as the research subjects.All patients underwent surgical treatment.According to the postoperative care methods,they were divided into combination group(n=40,given PERMA psychological intervention combined with sensory integration training)and control group(n=40,only given sensory integration training intervention).Both groups of patients received continuous intervention for 3 months.The neurological function of patients was evaluated using the National Institutes of Health stroke scale(NIHSS).The quality of life of patients was evaluated using the European Organization for Research and Treatment of Cancer quality of life questionnaire core 30(EORTC QLQ-C30).The neurological function,quality of life,serum inflammatory factor levels,and incidence of complications were compared between two groups by statistical analysis methods.Results:After intervention,the NIHSS score of patients in combination group was lower than that in control group,and the difference was statistically significant(P<0.05);The EORTC QLQ-C30 scores of patients in combination group were higher than those in control group,and the differences were statistically significant(P<0.05);The levels of serum interleukin(IL)-6 and tumor necrosis factor(TNF)-αin combination group were lower than those in control group,and the differences were statistically significant(P<0.05).During the intervention period,the incidence of complications in combination group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion:The application of PERMA psychological intervention combined with sensory integration training in postoperative patients with ICA can improve their neurological function,reduce the incide
作者
刘竞宇
杨俊丽
申亚峰
LIU Jing-Yu;YANG Jun-Li;SHEN Ya-feng(Department of Neurosurgery,Tianjin People's Hospital,Tianjin 300000)
出处
《四川解剖学杂志》
2024年第2期94-97,共4页
Sichuan Journal of Anatomy
关键词
颅内动脉瘤
PERMA心理干预
感觉统合训练
神经功能
生活质量
Intracranial aneurysm
PERMA psychological intervention
Sensory integration training
Neurological function
Quality of life
