结构式心理护理对行开颅手术夹闭动脉瘤患者心理不确定感和临床预后的影响研究  

Effect of structured psychological nursing on psychological uncertainty and clinical prognosis in patients with aneurysm undergoing craniotomy

作　　者：张红[1] 高秀芳[2] 黄重光[2] 潘震华[2] 杨英 刘秀琳[4] ZHANG Hong;GAO Xiu-fang;HUANG Chong-guang;PAN Zhen-hua;YANG Ying;LIU Xiu-lin(Department of Nursing,Huangpi district People's Hospital,Wuhan 430300,China;Department of Neurosurgery,Huangpi District People's Hospital,Wuhan 430300,China;Department of Operating Room,Union hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Operating Room,Huangpi District People's Hospital,Wuhan 430300,China)

机构地区：[1]武汉市黄陂区人民医院护理部,湖北武汉430300 [2]武汉市黄陂区人民医院头胸急诊外科,湖北武汉430300 [3]华中科技大学同济医学院附属协和医院手术室,湖北武汉430022 [4]武汉市黄陂区人民医院手术室,湖北武汉430300

出　　处：《广西大学学报（自然科学版）》2019年第6期1790-1795,共6页Journal of Guangxi University（Natural Science Edition）

基　　金：国家自然科学基金项目(81300196);湖北省自然科学基金(2017CFB794)

摘　　要：探讨开颅手术夹闭动脉瘤患者结构式心理护理方法,并就其对患者心理不确定感及预后的影响进行分析。选择2015年3月至2018年3月在行开颅手术夹闭术的动脉瘤患者92例进行研究。采用随机数字表法将患者分为2组,每个各46例。对照组行常规护理,观察组在此基础上实施结构式心理护理。对比两组患者不良情绪、疾病不确定感、日常生活能力及护理满意度。干预后两组患者SAS及SDS得分均明显下降,但观察组降幅更大(P<0.05)。干预后两组患者不明确性、复杂性、信息缺乏性及不可靠性方面不确定得分感均明显下降,但观察组降幅更大(P<0.05)。干预后两组患者日常生活能力评分均明显升高,但观察组升高幅度更大(P<0.05)。观察组患者护患沟通、病房环境、健康教育、护理技术等护理满意度得分均明显高于对照组(P<0.05)。结构式心理护理较常规护理可明显改善开颅手术夹闭动脉瘤患者负性情绪、降低患者不确定感、改善日常生活能力、提高护理满意度。To explore the effect of structural psychological nursing on psychological uncertainty and clinical prognosis of patients undergoing craniotomy for clipping aneurysms.A total of 92 patients with aneurysms who underwent craniotomy in our hospital from March 2015 to March 2018 were enrolled.Patients were divided into 2 groups,46 cases each,using a random number table method.The control group received routine care,and the observation group implemented structural psychological care on this basis.The adverse emotions,disease uncertainty,daily living ability and nursing satisfaction of the two groups were compared.After intervention,the scores of SAS and SDS in the two groups were significantly decreased,but the decrease in the observation group was greater(P<0.05).After the intervention,the unequalness,complexity,lack of information and unreliability of the two groups were significantly decreased,but the observation group showed a greater decline(P<0.05).After the intervention,the scores of daily living ability of the two groups were significantly increased,but the increase of the observation group was greater(P<0.05).The nursing satisfaction scores of nurses and patients communication,ward environment,health education and nursing technology in the observation group were significantly higher than those in the control group(P<0.05).Structural psychological nursing can significantly improve the negative emotions of patients with craniotomy and clip aneurysms,reduce the uncertainty of patients,improve the ability of daily life,and improve the satisfaction of nursing.

关 键 词：结构式心理护理 开颅手术夹闭 颅内动脉瘤 心理不确定感 预后 

分 类 号：R473.[医药卫生—护理学]