基于应激系统理论的护理干预对脑卒中患者创伤后成长、社会支持的影响  

Impact of nursing intervention based on stress system on posttraumatic growth and social support in patients with stroke

作　　者：张洁[1] 邢凤梅 吕婕[1] 张秀娟 柳桂红 王宝民[1] Zhang Jie;Xing Fengmei;Lyu Jie;Zhang Xiujuan;Liu Guihong;Wang Baomin(Surgery ICU,Tangshan People's Hospital,Hebei Province,Tangshan 063000,China;School of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan 063210,China)

机构地区：[1]河北省唐山市人民医院外科ICU,063000 [2]华北理工大学护理与康复学院,唐山063210

出　　处：《中华现代护理杂志》2020年第5期652-655,共4页Chinese Journal of Modern Nursing

基　　金：2019年河北省卫健委医学科学研究课题(20191594)。

摘　　要：目的探讨以应激系统理论为基础的护理干预对脑卒中患者创伤后成长(PTG)、社会支持的影响。方法采用便利抽样法,选择2018年1—8月在唐山市人民医院神经内科住院的脑卒中患者120例为研究对象。将120例脑卒中患者按随机数字表法分成干预组和对照组,每组各60例,对照组给予常规护理,干预组在此基础上给予应激系统干预。采用创伤后成长评定量表(PTGI)、领悟社会支持量表(PSSS)比较两组患者的PTG、社会支持水平。结果干预2个月后,干预组患者PTGI总分(69.67±9.10)分,对照组(48.62±7.94)分,两组比较差异有统计学意义(P<0.05)。干预后,干预组患者社会支持得分(59.15±13.47)分,高于对照组的(50.87±20.09)分,两组比较差异有统计学意义(P<0.05)。结论应激系统干预能够提高脑卒中患者的PTG、社会支持水平。Objective To investigate the effect of nursing intervention based on stress system theory on posttraumatic growth(PTG)and social support in patients with stroke.Methods 120 stroke patients who were hospitalized in Department of Neurology,Tangshan People's Hospital from January to August 2018 were selected as the research subjects by convenient sampling.A total of 120 stroke patients were divided into intervention group and control group according to the random number table method with 60 patients in each group.The control group was given routine care,and the intervention group was given stress system intervention on this basis.The Post-traumatic Growth Assessment Inventory(PTGI)and the Perceived Social Support Scale(PSSS)were used to compare the PTG and social support levels of the two groups.Results After 2 months of intervention,the total score of PTGI in the intervention group was(69.67±9.10),and that in the control group was(48.62±7.94),the difference between the two groups was statistically significant(P<0.05).After the intervention,the PSSS score of the intervention group was(59.15±13.47),which was higher than that in the control group(50.87±20.09),the difference between the two groups was statistically significant(P<0.05).Conclusions Stress system intervention can improve PTG and social support in patients with stroke.

关 键 词：卒中 社会支持 创伤后成长 应激系统干预 

分 类 号：R473.74[医药卫生—护理学]