知信行干预结合局部亚低温对蛛网膜下腔出血患者康复效果及心理情绪的影响  

Effects of knowledge,belief and behavior intervention combined with local mild hypothermia on the rehabilitation effect and psychological emotion of patients with subarachnoid hemorrhage

作　　者：韩浴阳 张余[1] 李湘[1] HAN Yuyang;ZHANG Yu;LI Xiang(Department of Neurosurgery,Chengdu Third People’s Hospital,Sichuan,Chengdu 610000,China)

机构地区：[1]四川省成都市第三人民医院神经外科,610000

出　　处：《河北医药》2022年第11期1671-1673,1677,共4页Hebei Medical Journal

摘　　要：目的分析知信行干预结合局部亚低温对蛛网膜下腔出血患者康复效果及心理情绪的影响。方法将2017年12月至2020年5月蛛网膜下腔出血患者40例为研究对象,运用随机数字表法分为参照组与观察组,每组20例。入组患者均接受局部亚低温干预,参照组在此基础上配合常规干预,观察组则应用知信行干预。观察2组患者康复效果、心理情绪及并发症情况。结果干预后发现,2组Hunt-Hess评级虽有所减轻,但2组比较差异无统计学意义(P>0.05);观察组脑动脉平均血流速度较对照组显著提升,神经功能缺损程度评分较参照组低,差异有统计学意义(P<0.05);干预后2组抑郁、焦虑量表评分降低,且观察组明显更低,差异有统计学意义(P<0.05);观察组并发症发生率低于参照组,差异有统计学意义(P<0.05)。结论知信行干预结合局部亚低温可有效改善蛛网膜下腔出血患者整体康复效果,减轻负面心理情绪,降低或预防并发症。Objective To investigate the effects of knowledge,belief and behavior intervention combined with local mild hypothermia on the rehabilitation effect and psychological emotion of patients with subarachnoid hemorrhage.Methods Forty patients with subarachnoid hemorrhage who were treated in our hospital from December 2017 to May 2020 were enrolled in the study,who were randomly divided into two groups,woth 20 cases in each group.The patients in both groups were treated by local mild hypothermia intervention,on that basis,the patients in control group were treated given routine nursing intervention,however,those in observation group were given knowledge,belief,behavior intervention.The rehabilitation effect,psychological mood and complications were observed and compared between the two groups.Results After intervention,the Hunt-Hess ratings in both groups were decreased,but,there were no significant differences between the two groups(P>0.05).The average cerebral artery blood flow velocity in observation group was significantly higher than that in control group,however,the neurological deficit scores significantly lower than those in control group(P<0.05).After the intervention,the depression and anxiety scale scores in both groups were decreased,moreover,which in observation group were significantly lower than those in control group(P<0.05).In addition the incidence of complications in observation group was significantly lower than that in control group(P<0.05).Conclusion The knowledge,belief,behavior intervention combined with local mild hypothermia can effectively improve the overall rehabilitation effects in patients with subarachnoid hemorrhage,and relieve the negative psychological emotions of patients,and decrease the incidence of complications.

关 键 词：蛛网膜下腔出血 知信行干预 局部亚低温 康复 心理情绪 

分 类 号：R743.35[医药卫生—神经病学与精神病学]