保护动机理论在中年颅内动脉瘤患者术后情绪管理中的应用  

Application of Protection Motivation Theory in Postoperative Emotional Management of Middle-Aged Patients with Intracranial Aneurysm

作　　者：李星茹 张超[2] LI Xing-ru;ZHANG Chao(Neurosurgical Intensive Care Unit,the Second Affiliated Hospital,Nanchang University,Nanchang 330006,China;Department of Nursing,the Second Affiliated Hospital,Nanchang University,Nanchang 330006,China;Neurosurgical Intensive Care Unit,Yijishan Hospital of Wannan Medical College,Wuhu 241001,China)

机构地区：[1]南昌大学第二附属医院神经外科ICU,南昌330006 [2]南昌大学第二附属医院护理部,南昌330006 [3]皖南医学院弋矶山医院神经外科ICU,芜湖安徽241001

出　　处：《实用临床医学（江西）》2023年第5期68-73,共6页Practical Clinical Medicine

基　　金：江西省卫健委一般科技计划(202130456)。

摘　　要：目的探讨保护动机理论保护动机理论(protection motivation theory,PMT)在中年颅内动脉瘤(intracranial aneurysm,IA)患者情绪管理中的应用效果。方法选取南昌某三甲医院2019年10月至2020年7月神经外科70例中年IA术后患者为研究对象,以入院时间为依据分为对照组与观察组,各35例。对照组行术后常规护理,观察组行PMT下的术后情绪管理,2组患者均从术后意识清醒可沟通交流时开始干预,直至出院后3个月。比较干预前后2组患者疾病不确定感[采用Mishel疾病不确定感量表(Mishel′s uncertainty in illness scale for adults,MUIS)评定]、自我效能感[采用一般自我效能感量表(general self-efficacy scale,GSES)中文版评定]及希望水平(采用Herth希望量表评定)。结果干预后观察组MUIS各维度评分均高于对照组,差异有统计学意义(P<0.001);干预后2组患者GESE得分均有所提高,且观察组上升幅度大于对照组,差异有统计学意义(P<0.001);干预后观察组处于中、高希望水平的比例高于对照组,差异有统计学意义(P<0.01)。结论PMT下的术后情绪管理能有效减轻中年IA患者疾病不确定感、提高自我效能感及希望水平,促进疾病转归。Objective To explore the application of protection motivation theory(PMT)in emotion management of middle-aged patients with intracranial aneurysm(IA).Methods A total of 70 middle-aged patients who underwent neurosurgery for IA from October 2019 to July 2020 in a gradeⅢlevel A hospital were selected as the study subjects.According to the admission time,these patients were assigned to receive either routine postoperative care(control group,from October 2019 to February 2020)or postoperative emotional management under PMT framework(observation group,from March to July),with 35 patients in each group.Both groups of patients began intervention from the time they became conscious and communicated after surgery,until 3 months after discharge.The Mishel Uncertainty in Illness Scale(MUIS),General Self-Efficacy Scale(GSES)score and hope level(Herth Hope Index)were compared between the two groups.Results At 3 months after surgery,the scores of all dimensions of MUIS in the observation group were higher than those in the control group(P<0.001).The scores of GESE were increased in both groups after intervention,and the increase in the observation group was greater than that in the control group(P<0.001).In addition,the proportion of patients with medium and high hope levels in the observation group was higher than that in the control group(P<0.01).Conclusion Postoperative emotional management under PMT can effectively reduce disease uncertainty,improve self-efficacy and hope level,and promote disease outcome in middle-aged IA patients.

关 键 词：保护动机理论 中年患者 颅内动脉瘤 情绪管理 

分 类 号：R473.6[医药卫生—护理学]