应激系统理论的教育干预对外伤性硬膜外血肿患者心理弹性和睡眠质量的影响  

Effect of educational intervention based on stress system theory on psychological resilienceand sleep quality of patients with traumatic epidural hematoma

作　　者：钱静静 尹艳艳 QIAN Jingjing;YIN Yanyan(Bozhou People's Hospital,Neurosurgery,Bozhou 236000,China;Department of Neurosurgery,the First Affiliated Hospital of Anhui Medical University)

机构地区：[1]安徽省亳州市人民医院神经外科,236000 [2]安徽医科大学附属第一医院神经外科

出　　处：《中国健康心理学杂志》2024年第6期877-882,共6页China Journal of Health Psychology

基　　金：安徽省自然科学基金(编号:1908085MH270)。

摘　　要：目的:对外伤性硬膜外血肿(TEH)患者实施应激系统理论的教育干预,分析其对心理弹性和睡眠质量的影响。方法:按照入院先后将某院2020年1月-2023年1月收治的80例TEH患者分为对照组(n=40,常规干预)和观察组(n=40,常规干预+应激理论的教育干预);对比两组干预效果,干预前后心理弹性[心理弹性量表(CD-RISC)]、睡眠质量[匹兹堡睡眠质量指数量表(PSQI)]、神经功能[美国国立卫生研究院卒中量表(NIHSS)]和生活质量[世界卫生组织生存质量测评量表(WHO-QOL-100)]及患者满意度。结果:观察组致残率、并发症总发生率均低于对照组(χ^(2)=4.114,7.314;P<0.05));干预后,观察组坚韧、乐观、自强及CD-RISC量表总分均高于对照组(t=3.734,4.382,3.465,6.585;P<0.05);干预后,观察组PSQI各维度评分及总分均低于对照组(t=-2.575,-3.741,-2.684,-2.504,-2.527,-2.268,-2.158,-7.946;P<0.05);干预后,两组NIHSS评分均低于干预前(P<0.05),且观察组低于对照组(t=-7.375,P<0.05);两组WHO-QOL-100评分均升高(P<0.05),且观察组高于对照组(t=2.126,P<0.05)。两组满意度比较,观察组为97.50%,高于对照组的80.00%(χ^(2)=4.507,P<0.05)。结论:对外伤性硬膜外血肿患者采用基于应激理论的教育干预效果显著,可降低致残率和并发症发生率,提高患者心理弹性,改善睡眠质量、神经功能和生活质量,提升患者满意度。Objective:To analyze the effect of stress system theory on psychological resilience and sleep quality in patients with traumatic epidural hematoma(TEH).Methods:A total of 80 patients with TEH admitted to our hospital from January 2020 to January 2023 were divided into control group(n=40,routine intervention)and observation group The intervention effects were compared between the two groups,including psychological resilience scale(CD-RISC),sleep quality scale(PSQI),neurological function scale(NIHSS),quality of life scale(WHO-QOL-100)and patient satisfaction before and after intervention.Results:The disability rate and total incidence of complications in observation group were lower than those in control group(χ^(2)=4.114,7.314;P<0.05).After intervention,the total scores of tenacity,optimism,self-reliance and CD-RISC in the observation group were higher than those in the control group After intervention,the scores of PSQI and total scores in observation group were lower than those in control group(t=-2.575,-3.741,-2.684,-2.504,-2.527,-2.268,-2.158,-7.946;P<0.05).After intervention,NIHSS scores in both groups were lower than those before intervention(P<0.05),and those in the observation group were lower than those in the control group(t=-7.375,P<0.05);The score of WHO-QOL-100 in both groups increased(P<0.05),and the score in the observation group was higher than that in the control group(t=2.126,P<0.05).The satisfaction of the two groups was 97.50%in the observation group,higher than 80.00%in the control group(χ^(2)=4.507,P<0.05).Conclusion:The educational intervention based on stress theory for patients with traumatic epidural hematoma has significant effect,which can reduce the disability rate and the incidence of complications,improve the psychological resilience of patients,improve the quality of sleep,neurological function and quality of life,and enhance patient satisfaction.

关 键 词：应激系统理论 教育干预 外伤性硬膜外血肿 心理弹性 睡眠质量 神经功能 生活质量 满意度 

分 类 号：R395.5[哲学宗教—心理学]