罗伊-纽曼综合干预模式联合结构式心理干预对颅内动脉瘤介入栓塞术后患者生活质量的影响  

Effect of Roy-Newman Integrated Intervention Mode Combined with Structural Psychological Intervention on the Quality of Life of Patients after Interventional Embolization of Intracranial Aneurysms

作　　者：陈程 CHEN Cheng(The Second Affiliated Hospital of Nanhua University,Hengyang 421001,Hunan)

机构地区：[1]南华大学附属第二医院,湖南衡阳421001

出　　处：《中外医学研究》2025年第10期143-147,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨罗伊-纽曼综合干预模式联合结构式心理干预对颅内动脉瘤介入栓塞术后患者生活质量的影响。方法:选择2021年12月—2023年6月南华大学附属第二医院收治的120例行颅内动脉瘤介入栓塞术患者,根据信封法随机分为试验组和参照组,参照组(n=60)给予常规介入术后干预措施,试验组(n=60)在参照组基础上给予罗伊-纽曼综合干预模式联合结构式心理干预,比较两组患者干预前后美国国立卫生研究院卒中量表(NIHSS)、心理弹性量表(CD-RISC)、自我管理能力评分和生活质量评分,观察两组患者并发症发生情况。结果:干预后试验组患者NIHSS评分低于参照组,CD-RISC评分高于参照组,差异有统计学意义(P<0.05)。干预后试验组患者自我管理技能、自我责任感、自我概念和健康知识评分均明显高于参照组,差异有统计学意义(P<0.05)。干预后试验组患者生理领域、心理领域、环境领域和社会关系领域评分均明显高于参照组,差异有统计学意义(P<0.05)。试验组并发症发生率为3.33%,明显低于参照组的16.67%,差异有统计学意义(Χ^(2)=4.537,P=0.033)。结论:罗伊-纽曼综合干预模式联合结构式心理干预可改善颅内动脉瘤介入栓塞术后患者生活质量,提高自我管理能力,改善神经功能缺损程度,减少并发症。Objective:To explore the effect of Roy-Newman integrated intervention mode combined with structural psychological intervention on the quality of life of patients after interventional embolization of intracranial aneurysms.Method:A total of 120 patients with intracranial aneurysm interventional embolization admitted to the Second Affiliated Hospital of Nanhua University from December 2021 to June 2023 were randomly divided into the experimental group and the reference group according to the envelope method.The reference group(n=60)was given conventional interventional postoperative intervention,and the experimental group(n=60)was given the Roy-Newman comprehensive intervention model combined with structural psychological intervention on the basis of the reference group.The National Institutes of Health stroke scale(NIHSS),mental resilience scale(CD-RISC),self-management ability score and quality of life score were compared between the two groups before and after intervention,and the occurrence of complications in the two groups was observed.Result:After intervention,the NIHSS score of experimental group was lower than that of reference group,and the CD-RISC score was higher than that of reference group,the differences were statistically significant(P<0.05).After intervention,the scores of self-management skills,self-responsibility,self-concept and health knowledge of experimental group were significantly higher than those of the reference group,the differences were statistically significant(P<0.05).After intervention,the scores in the physiological field,psychological field,environmental field and social relation field of experimental group were significantly higher than those of the reference group,and the differences were statistically significant(P<0.05).The complication rate of the experimental group was 3.33%,which was significantly lower than 16.67%of the control group,the difference was statistically significant(Χ^(2)=4.537,P=0.033).Conclusion:The combination of Roy-Newman comprehensive intervention mode a

关 键 词：罗伊- 纽曼综合干预模式 结构式心理干预 颅内动脉瘤 介入栓塞术 生活质量 

分 类 号：R743[医药卫生—神经病学与精神病学]