非语言暗示心理疏导联合基于希望理论的护理干预对ICU气管插管清醒患者心理弹性、希望水平及应激反应的影响  

Effects of nonverbal suggestion psychological counseling combined with nursing intervention based on hope theory on psychological resilience,hope level and stress response of conscious patients with ICU endo tracheal intubation

作　　者：范兰兰 赵晓云 FAN Lanlan;ZHAO Xiaoyun(People's Hospital of Tongchuan,Tongchuan 727000,China)

机构地区：[1]铜川市人民医院,陕西铜川727000

出　　处：《临床医学研究与实践》2022年第26期160-162,共3页Clinical Research and Practice

摘　　要：目的 探讨非语言暗示心理疏导联合基于希望理论的护理干预对重症监护室(ICU)气管插管清醒患者心理弹性、希望水平及应激反应的影响。方法 选择2019年1月至2021年1月我院ICU收治的84例气管插管清醒患者为研究对象,根据随机数字表法将其分为对照组与观察组,各42例。对照组行常规护理干预,观察组行非语言暗示心理疏导联合基于希望理论的护理干预。比较两组的干预效果。结果 干预后,观察组的心理弹性量表(CD-RISC)各维度评分高于对照组(P<0.05)。干预后,观察组的Herth希望量表各维度评分高于对照组(P<0.05)。干预后,观察组的皮质醇(Cor)、肾上腺素(E)水平低于对照组(P<0.05)。结论 非语言暗示心理疏导联合基于希望理论的护理干预可提高ICU气管插管清醒患者的心理弹性及希望水平,减轻应激反应,值得临床推广。Objective To explore the effects of nonverbal suggestion psychological counseling combined with nursing intervention based on hope theory on psychological resilience,hope level and stress response of conscious patients with intensive care unit(ICU) endo tracheal intubation.Methods Eighty-four conscious patients with endo tracheal intubation admitted in ICU of our hospital from January 2019 to January 2021 were selected as the research objects.According to the random number table method,the patients were divided into control group and observation group,with 42 cases in each group.The control group received routine nursing intervention,while the observation group received nonverbal suggestion psychological counseling combined with nursing intervention based on hope theory.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Connor-Davidson Resilience Scale(CDRISC) in the observation group were higher than those in the control group(P<0.05).After intervention,the scores of each dimension of Herth Hope Scale in the observation group were higher than those in the control group(P <0.05).After intervention,the cortisol(Cor) and epinephrine(E) levels in the observation group were lower than those in the control group(P<0.05).Conclusion Nonverbal suggestion psychological counseling combined with nursing intervention based on hope theory can improve the psychological resilience and hope level of conscious patients with ICU endo tracheal intubation,reduce stress response,which is worthy of clinical promotion.

关 键 词：非语言暗示心理疏导 基于希望理论的护理干预 心理弹性 应激反应 气管插管 

分 类 号：R473.74[医药卫生—护理学]