摘要
目的探讨基于Snyder希望理论的精准护理对颅内动脉瘤(IA)介入治疗患者的影响。方法选取2023年6月至2024年2月郑州大学第一附属医院收治的98例IA介入患者为研究对象,按随机数表法分为常规护理组和精准护理组,各49例。常规护理组采取常规护理模式,精准护理组在常规基础上采取基于Snyder希望理论的精准护理,两组均干预至出院后3个月。比较两组干预前后心理状态[心理状态评定量表(MSSNS)]、急性应激障碍[急性应激障碍量表(ASDS)]、疾病不确定感[疾病不确定感量表(MUIS)]、希望水平[Herth希望指数(HHI)]、肢体运动功能[Fugl-Meyer评估量表(FMA)]和日常生活能力[改良Barthel指数(BI)]。结果干预后,精准护理组MSSNS评分、ASDS评分、MUIS评分均低于常规护理组,HHI、FMA、BI评分高于常规护理组(P<0.05)。结论基于Snyder希望理论的精准护理可有效调节IA介入患者的负性心理状态,减轻急性应激障碍,降低疾病不确定感,提升希望水平,促进肢体运动功能恢复,改善其日常生活能力。
Objective To explore the effect of precision nursing based on Snyder’s hope theory in patients undergoing intracranial aneurysm(IA)intervention.Methods A total of 98 patients with IA intervention admitted to the First Affiliated Hospital of Zhengzhou University from June 2023 to February 2024 were selected as the research subjects and divided into routine nursing group and precision nursing group by random number table method,49 cases in each group.The routine nursing group received routine nursing,while the precision nursing group received precision nursing based on Snyder’s hope theory on basis of routine nursing,and the intervention lasted for 3 months after discharge.The psychological state[mental status scale in non psychiatric settings(MSSNS)],acute stress disorder[acute stress disorder scale(ASDS)],disease uncertainty[Medical uncertainty inventory scale(MUIS)],hope level[herth hope index(HHI)],limb motor function[Fugl-Meyer assessment(FMA)],activity of daily living[modified Barthel index(BI)]before and after intervention were compared between the two groups.Results After intervention,the MSSNS,ASDS and MUIS scores in the precision nursing group were lower than those in the routine nursing group,the HHI,FMA and BI scores were higher than those in the routine nursing group(P<0.05).Conclusion Precision nursing based on Snyder’s hope theory can effectively regulate the negative psychological state of IA intervention patients,reduces acute stress disorders,lowers disease uncertainty,enhances hope levels,promotes limb movement function recovery,and improves their daily living abilities.
作者
李文燕
郭园园
李朝阳
刘永贵
LI Wenyan;GUO Yuanyuan;LI Zhaoyang;LIU Yonggui(Emergency Interventional Operation Room,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
2025年第17期3255-3259,共5页
Henan Medical Research
基金
2022年河南省医学科技攻关联合共建项目(LHGJ20220406)。
作者简介
通信作者:刘永贵,E-mail:13838390258@163.com。
