个体化的心理护理措施在成人烟雾病患者脑血运重建手术中的应用  

Application of individualized psychological nursing intervention in cerebral revascularization for adult patients with moyamoya disease

作　　者：赵东红[1] 陈虹岩 薛锐 董鑫鑫 范燕竹 ZHAO Donghong;CHEN Hongyan;XUE Rui;DONG Xinxin;FAN Yanzhu(Ward Two,Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing,100070,China)

机构地区：[1]首都医科大学附属北京天坛医院神经外科脑血管病2病区,北京100070

出　　处：《中国医药导报》2022年第24期147-150,162,共5页China Medical Herald

基　　金：北京市医院管理局“登峰人才培养计划”项目(DFL20180501)。

摘　　要：目的研究脑血运重建手术结合个体化的心理护理措施在成人烟雾病患者中的应用。方法选取2019年11月至2020年7月于北京天坛医院行颅外-内脑血运重建手术的180例成人烟雾病患者,采用随机数字表法将其分为研究组和对照组,各90例。对照组采用常规护理,研究组在常规护理基础上采用个体化焦虑及抑郁情绪护理与训练。比较两组干预前后抑郁、焦虑情绪、改良Rankin量表(mRS)评分及护理满意度得分。结果干预前,两组抑郁情绪、焦虑情绪、mRS评分比较,差异无统计学意义(P>0.05);干预后,两组抑郁程度、焦虑程度优于干预前,且观察组优于对照组(P<0.05);两组mRS评分低于干预前,且研究组低于对照组(P<0.05)。研究组护理满意度高于对照组(P<0.05)。结论个体化的心理护理对于改善烟雾病脑血运重建术的患者焦虑及抑郁情绪、临床预后、护理满意度等方面具有重要意义。Objective To investigate the application of individualized psychological nursing intervention in adult patients with moyamoya disease treated by combined cerebral revascularization.Methods A total of 180 adult patients with moyamoya disease who underwent extracranial and intracranial revascularation surgery in Beijing Tiantan Hospital,Capital Medical University,from November 2019 to July 2020 were enrolled in this study.They were divided into study group and control group by random number table method,with 90 cases in each group.The control group adopted routine nursing,and the research group adopted individualized anxiety and depression emotion nursing and training on the basis of routine nursing.Depression,anxiety,modified Rankin scale(mRS)score,and nursing satisfaction score were compared between the two group before and after intervention.Results There were no significant differences in depression,anxiety,and m RS scores between the two groups before intervention(P>0.05).After intervention,the degree of depression and anxiety in the two groups were better than before intervention,and the observation group was better than the control group(P<0.05),m RS scores of the two groups after intervention were lower than before intervention,and that of the study group was lower than the control group(P<0.05).The nursing satisfaction of study group was higher than that of control group(P<0.05).Conclusion Individualized psychological nursing is of great significance to improve the outcome of anxiety and depression,neurological function,and nursing satisfaction of patients with moyamoya.

关 键 词：烟雾病 卒中后抑郁 焦虑 临床护理 护理干预 

分 类 号：R473.72[医药卫生—护理学]