延续性护理对轻度脑外伤患者心理和生命质量影响的研究  

Influence of continuous nursing on psychological and quality of life of patients with mild traumatic brain injury

作　　者：朱华美[1] 应莉莉 胡丹红[2] 叶杨[2] 杨玉玲[1] 木冬妹[1] Zhu Huamei;Ying Lili;Hu Danhong;Ye Yang;Yang Yuling;Mu Dongmei(Department of Neurosurgery,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China;Department of Internal Surgery,Oujiang Hospital,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第二医院神经外科,325000 [2]温州医科大学附属第二医院瓯江口院区综合内外科,325000

出　　处：《中国实用护理杂志》2021年第16期1235-1239,共5页Chinese Journal of Practical Nursing

基　　金：温州市科学技术局基础性科研项目(Y20180431)。

摘　　要：目的探讨延续性护理对轻度脑外伤患者心理和生命质量的影响。方法选择2016年1月至2019年12月在温州医科大学附属第二医院住院治疗的轻度脑外伤患者120例,按入院的先后顺序依次从随机号码表上抽取样本号码进行录入分组,对照组和干预组各60例。对照组予常规普通护理,干预组予延续性护理。采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、生命质量量表(SF-36)评价出院当日及出院后1周、1个月、3个月患者心理和生命质量。结果出院当日2组患者HAMA、HAMD和SF-36得分比较差异无统计学意义(P>0.05)。出院后1周、1个月和3个月干预组的HAMA得分分别为(18.2±8.6)、(13.7±5.8)、(5.6±2.3)分,明显低于对照组的(24.2±11.2)、(20.4±8.2)、(8.9±3.6)分,差异有统计学意义(t值为2.32、3.67、4.13,P<0.05)。出院后1周、1个月和3个月干预组的HAMD评分分别为(24.3±7.1)、(10.9±4.2)、(6.8±2.9)分,明显低于对照组的(28.6±8.5)、(15.3±8.3)、(14.8±4.6)分,差异有统计学意义(t值为2.11、2.57、7.99,P<0.05)。出院后1周、1个月和3个月干预组的SF-36评分分别为(77.2±8.9)、(85.2±9.7)、(87.8±12.9)分,较对照组的(72.3±8.2)、(79.4±10.9)、(81.0±11.5)分均上升,差异有统计学意义(t值为-2.23、-2.14、-2.13,P<0.05)。结论延续性护理可以延伸至患者家庭,使患者出院后面临的健康问题得到有效解决,缓解心理压力和提高生命质量,值得临床应用。Objective To explore the effect of continuous nursing on the psychology and quality of life of patients with mild traumatic brain injury.Methods A review of 120 patients with mild traumatic brain injury who were hospitalized in the Second Affiliated Hospital of Wenzhou Medical University from January 2016 to December 2019 were selected.According to the order of admission,sample numbers were drawn from the random number list and entered into groups.There were 60 cases in the control group and the intervention group.The control group received routine general nursing,and the intervention group received continuous nursing.The Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),and Quality of Life Scale(SF-36)were used to evaluate the psychology and quality of life of patients on the day of discharge and one week,one month,and three months after discharge.Results There was no significant difference in the scores of HAMA,HAMD and SF-36 between the two groups on the day of discharge(P>0.05).The HAMA scores at 1 week,1 month and 3 months after the intervention of the intervention group were(18.2±8.6),(13.7±5.8)and(5.6±2.3),which were significantly lower than those of the control group(24.2±11.2),(20.4±8.2),(8.9±3.6),the differences were statistically significant(t values were 2.32,3.67,4.13,P<0.05).The HAMD scores at 1 week,1 month and 3 months after the intervention of the intervention group were(24.3±7.1),(10.9±4.2),(6.8±2.9),which were significantly lower than those of the control group(28.6±8.5),(15.3±8.3),(14.8±4.6),the differences were statistically significant(t values were 2.11,2.57,7.99,P<0.05).The SF-36 scores at 1 week,1 month and 3 months after the intervention of the intervention group were(77.2±8.9),(85.2±9.7),(87.8±12.9),which were significantly higher than those of the control group(72.3±8.2),(79.4±10.9),(81.0±11.5),the differences were statistically significant(t values were-2.23,-2.14,-2.13,P<0.05).Conclusions Continuing care can be extended to the patient's family,so that the

关 键 词：延续性护理 轻度脑外伤 心理压力 生活质量 

分 类 号：R473.6[医药卫生—护理学]