结构式心理护理干预在三叉神经痛术后患者护理中的应用  

Application of structural psychological nursing intervention in postoperative nursing of trigeminal neuralgia patients

作　　者：何茜[1] 樊朝凤[1] He Qian;Fan Chaofeng(General Ward of Neuropathy,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院神经疾病综合病房,四川成都610041

出　　处：《海军医学杂志》2023年第2期186-190,共5页Journal of Navy Medicine

摘　　要：目的探究结构式心理护理干预在三叉神经痛术后患者护理中的临床价值。方法选取2020年7月至2021年7月四川大学华西医院神经疾病综合病房收治的96例三叉神经痛手术患者作为研究对象,采用数字表法随机将其均分为对照组和研究组,每组各48例。对照组患者实施常规心理护理,研究组患者实施结构式心理护理,对2组患者干预前后疼痛、言语反应、负性情绪及术后并发症的发生情况进行观察分析。结果干预前,2组患者疼痛感知比较差异无统计学意义(P>0.05);干预后,2组患者疼痛得分均低于干预前,差异有统计学意义(P<0.05)。干预后,研究组患者的现时疼痛强度量表(present pain intensity scale,PPI)、言语评价量表(verbal rating scales,VRS)等得分均低于对照组,差异有统计学意义(P<0.05)。干预前,2组患者心理应激状态比较差异无统计学意义(P>0.05);干预后,2组患者心理应激状态均优于干预前,差异有统计学意义(P<0.05)。干预后,研究组患者的负性情绪(negative emotions,NA)、正性情绪(positive emotions,PA)等心理应激状态均优于对照组,差异有统计学意义(P<0.05);研究组患者的睡眠障碍、头痛呕吐、面神经功能障碍以及颅脑感染等术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论对三叉神经痛术后患者实施结构式心理护理干预,可有效降低患者对于疼痛的敏感程度,舒缓患者不良心理状态,降低患者术后并发症发生率,对于患者的快速康复具有积极意义。Objective To explore the clinical value of structural psychological nursing intervention in postoperative trigeminal neuralgia patients.Methods A total of 96 patients with trigeminal neuralgia who underwent surgery in the general neurological ward of West China Hospital of Sichuan University from July 2020 to July 2021 were selected as study subjects,and were randomly divided into the control group and the study group,each consisting of 48.The control group was given routine psychological nursing,while the study group received structural psychological nursing intervention.The incidence of pain,speech response,negative emotion and postoperative complications before and after intervention in the 2 groups were observed and analyzed.Results Before intervention,there was no statistical significance in pain perception,when comparisons were made between the two groups(P>0.05).After intervention,the pain scores in both groups were lower than those before intervention,with statistical significance(P<0.05).The scores of present pain intensity scale(PPI)and verbal rating scale(VRS)in the study group were lower than those in the control group,with statistical significance(P<0.05).Before intervention,there was no statistical significance in the psychological stress,when comparisons were made between the patients of the two groups(P>0.05).After intervention,the psychological stress of both groups was better than that before intervention,with statistical significance(P<0.05).The negative emotion(NE),the positive emotion(PE)and other psychological stress in the study group were all better than those of the control group,with statistical significance(P<0.05).The incidence of such postoperative complications as sleep disorder,headache and vomiting,facial nerve dysfunction and craniocerebral infection in the study group was lower than that in the control group,also with statistical significance(P<0.05).Conclusion The structural psychological nursing intervention in the patients with trigeminal neuralgia after surgery could effectiv

关 键 词：三叉神经痛 结构式 心理护理 疼痛强度 言语反应 负性情绪 并发症 

分 类 号：R473.6[医药卫生—护理学]