基于应激系统理论的护理模式对闭合性颅脑损伤轻型患者心理应激和生活质量的影响  

Effect of nursing intervention based on stress system on psychological stress and quality of life of patients with traumatic brain injury

作　　者：余倩倩 YU Qian-qian(Department of Neurosurgical I,Wanbei Coal and Electricity Group General Hospital,Suzhou 234000,Anhui,China)

机构地区：[1]皖北煤电集团总医院神经外一科,安徽宿州234000

出　　处：《川北医学院学报》2023年第3期425-428,共4页Journal of North Sichuan Medical College

摘　　要：目的:探讨基于应激系统理论的护理模式对闭合性颅脑损伤轻型患者心理应激和生活质量的影响。方法:按照护理方式不同将116例闭合性颅脑损伤轻型患者分为对照组和观察组,每组各58例。对照组实施常规护理模式,观察组实施基于应激理论的护理模式。两组均干预1个月,比较两组干预前后心理弹性水平、创伤后应激障碍、应对方式及生活质量。结果:干预后,观察组CD-RISC量表总分和各维度评分、MCMQ量表中面对维度评分、QOLIBRI量表中思考能力、自我评价、自主性与日常生活及人际关系维度评分均高于对照组(P<0.05),PCL-C量表评分、回避和屈服维度评分、情感及身体机能受限维度评分低于对照组(P<0.05)。结论:基于应激系统理论的护理模式可改善闭合性颅脑损伤轻型患者心理应激水平,提高生活质量。Objective:To explore the effect of nursing intervention based on stress system theory on psychological stress and quality of life of patients with traumatic brain injury.Methods:116 patients with traumatic brain injury were selected as the research objects.According to the different nursing methods,patients were divided into control group and observation group,58 cases in each group.The control group received routine nursing intervention,and the observation group received nursing intervention based on stress theory.Both groups were intervened for 1 month.The levels of psychological resilience,post-traumatic stress disorder,coping style and quality of life were compared between the two groups before and after intervention.Results:After intervention,the total score and each dimension score of CD-RISC scale,face dimension of the MCMQ scale,and the scores of thinking ability,self-evaluation,autonomy,daily life and interpersonal relationship in interpersonal relationship in the QOLIBRI scale of the observation group were higher than those of the control group(P<0.05).The scores of PCL-C scale,avoidance and submission dimension,emotional and physical function limitation dimension were lower than those of the control group(P<0.05).Conclusion:The nursing intervention based on stress system theory can improve the level of psychological stress and improve the quality of life of patients with traumatic brain injury.

关 键 词：闭合性颅脑损伤 应激理论 护理 心理应激 生活质量 

分 类 号：R473.5[医药卫生—护理学] R651.15[医药卫生—临床医学]