摘要
目的探讨叙事情境下的心理管理对脑动脉瘤介入治疗患者生存质量和负面情绪的影响。方法选取2016年11月至2018年5月行颅内动脉瘤介入栓塞术的108例患者,随机分成两组。对照组(54例)给予常规护理;观察组(54例)在常规护理基础上采用采取叙事性心理护理,比较两组护理前后负性情绪、生活质量及预后并发症的发生情况。结果干预2周后,对照组负面情绪(SAS、SDS评分)无明显改善(P>0.05);观察组负面情绪评分较干预前显著降低,且明显低于对照组(P<0.05);随访1年后观察组在心理、生理、环境、独立性、社会关系、精神支持方面评分及总评分较干预前均显著提高(均P<0.05);两组比较发现,除生理和环境方面,随访1年后观察组在心理、独立性、社会关系、精神支持方面评分及总评分均高于对照组(均P<0.05);观察组并发症发生率(17.00%)明显低于对照组(30.00%),两组比较差异有统计学意义(P<0.05)。结论叙事情境下的心理管理有利于脑动脉瘤介入治疗患者缓解负面情绪,提高术后生存质量,减少并发症的发生,对患者的术后康复起到了积极的作用,具有较高的实用价值。
Objective To explore the effect of psychological management in narrative context on the quality of life and negative emotions of patients with cerebral aneurysm undergoing interventional therapy.Methods 108 patients who underwent interventional embolization of intracranial aneurysms from November 2016 to May 2018 were randomly divided into two groups.54 patients in the control group were given routine nursing care,while 54 patients in the observation group were given narrative psychological nursing on the basis of routine nursing.The occurrence of negative emotions,quality of life,and complications were comparatively studied before and after nursing in the two groups.Results After 2 weeks of intervention,the negative emotions(SAS and SDS scores)in the control group were not significantly improved(P>0.05),the negative emotions scores in the observation group were significantly lower than those before the intervention,and significantly lower than those in the control group(P<0.05);the scores of psychology,physiology,environment,independence,social relationship,and spiritual support as well as the total score in the observation group showed significant improvement(P<0.05).As was revealed in the comparison between the two groups,except for the physiology and environment,the scores of psychology,independence,social relationship,and spiritual support as well as the total score in the observation group after the intervention were all higher than those in the control group(P<0.05).The incidence of complications in the observation group(17.00%)was significantly lower than that in the control group(30.00%),with a statistically significant difference between the two groups(P<0.05).Conclusion Psychological management in the narrative context is conducive to alleviating negative emotions of patients with cerebral aneurysm undergoing interventional therapy,improving the postoperative quality of life,reducing the occurrence of complications,which plays a positive role in postoperative rehabilitation of patients,is of high practical value.
作者
周萍
石磊
赵旭东
Zhou Ping;Shi Lei;Zhao Xiudong(Department of Neurology,Wuxi Second People's Hospital,Nanjing Medical University,Wuxi 214000,China)
出处
《国际医药卫生导报》
2020年第1期30-34,共5页
International Medicine and Health Guidance News
基金
无锡市科技局立项项目(WX18ⅡAN021)。
关键词
脑动脉瘤
介入治疗
叙事心理护理
生存质量
负面情绪
Cerebral aneurysm
Interventional therapy
Narrative psychology nursing
Quality of life
Negative emotions
作者简介
通信作者:石磊,Email:xjzxjzxjz123@163.com。
