叙事护理对轻型颅脑损伤患者焦虑抑郁状态的影响  

Narrative Nursing Effect on Light Craniocerebral Injury Patients With Anxiety Depression

作　　者：周洪兰[1] 康健[1] 樊拥军[1] 滕兆林[1] 

机构地区：[1]连云港市第二人民医院神经外科,江苏连云港222023

出　　处：《中国继续医学教育》2017年第36期151-153,共3页China Continuing Medical Education

摘　　要：目的探讨叙事护理对轻型颅脑损伤患者焦虑抑郁状态的影响。方法选择2012年1月—2017年5月住院治疗的轻型颅脑损伤患者(GCS评分>12分)100例,将其随机分为两组。对照组49例采用常规方法护理,观察组51例在常规护理基础上,采用叙事护理进行临床干预,对患者入院时和住院期间的焦虑抑郁状态采用抑郁自评量表和焦虑自评量表进行评价。结果两组患者入院时焦虑抑郁状态及评分对比,差异不具有统计学意义(P>0.05)。经护理干预后,两组焦虑状态均有改善,差异具有统计学意义(P<0.05),其SAS评分下降,且观察组低于对照组,差异具有统计学意义(P<0.05);对照组抑郁状态无明显改变(P>0.05),观察组抑郁状态明显改善(P<0.05),其SDS评分明显下降,差异具有统计学意义(P<0.05)。结论将叙事护理方法应用于轻中型颅脑损伤患者的临床护理中,可以显著缓解患者焦虑和抑郁等负面情绪,有助于患者的康复。Objective To explore the narrative nursing effect on light craniocerebral injury patients with anxiety depression. Methods 100 cases of light craniocerebral injury （GCS score 〉 12 points） were selected for hospitalization from January 2012 to May 2017. They were randomly divided into two groups. 49 cases in the control group were treated with routine nursing. On the basis of routine nursing, 51 cases in the observation group were treated with narrative nursing for clinical intervention. The state of anxiety and depression during admission and hospitalization was evaluated by the self rating depression scale and the self rating anxiety scale. Results The two groups of patients had no statistical signifcance （P 〉 0.05） in the state of anxiety and depression and the comparison of scores. After nursing, the two groups of anxiety were improved, and the difference was statistically signifcant （P 〈 0.05）. The SAS score decreased and the observation group was lower than the control group, and the difference was statistically signifcant （P 〈 0.05）. The depressive state of the control group was not significantly changed （P 〉 0.05）, and the depressive state of the observation group was signifcantly improved （P 〈 0.05）. The SDS score was signifcantly decreased, and the difference was statistically signifcant （P 〈 0.05）. Conclusion Narrative nursing method was applied to light medium the clinical nursing of patients with craniocerebral injury, can signifcantly relieve patients＇ anxiety and depression and other negative emotions, which is helpful for the recovery of patients.

关 键 词：叙事护理 轻型颅脑损伤 焦虑抑郁 

分 类 号：R473[医药卫生—护理学]