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作 者:徐敏娟 杨彩侠[1] 韩亚楠 刘永生[1] XU Minjuan;YANG Caixia;HAN Ya’nan;LIU Yongsheng(Second Department of Neurology of Shangqiu First People’s Hospital,Shangqiu 476100 Henan,China)
机构地区:[1]商丘市第一人民医院神经外二科,河南商丘476100
出 处:《中国民康医学》2025年第9期165-167,171,共4页Medical Journal of Chinese People’s Health
基 金:河南省医学科技攻关计划(联合共建)项目(LHGJ20191493)。
摘 要:目的:观察接纳-承诺理念护理在颅脑外伤术后患者中的应用效果。方法:回顾性分析2019年1月至2023年7月于该院进行去骨瓣减压术的65例颅脑外伤患者的临床资料,依据术后护理方法不同将其分为对照组(n=33)和观察组(n=32)。对照组采用常规护理,观察组在对照组基础上采用接纳-承诺理念护理,比较两组护理前后负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]、心理灵活性[接纳与行动问卷第二版(AAQ-Ⅱ)]和创伤后成长[创伤后成长量表(PTGI)]评分。结果:护理后,两组HAMA、HAMD评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组AAQ-Ⅱ评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组PTGI评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用接纳-承诺理念护理可提高颅脑外伤术后患者创伤后成长评分,降低负性情绪评分和心理灵活性评分,效果优于单纯常规护理。Objective:To observe application effects of acceptance-commitment concept nursing in postoperative patients with craniocerebral trauma.Methods:The clinical data of 65 patients with craniocerebral trauma who underwent decompressive craniectomy in the hospital from January 2019 to July 2023 were retrospectively analyzed.According to different postoperative nursing methods,they were divided into control group(n=33)and observation group(n=32).The control group was given routine nursing,while the observation group was given the acceptance-commitment concept nursing on the basis of that of the control group.The scores of negative emotions[Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD)],psychological flexibility[acceptance and action questionnaire-second edition(AAQ-II)]and post-traumatic growth[post-traumatic growth inventory(PTGI)]before and after the nursing were compared between the two groups.Results:After the nursing,the scores of HAMA and HAMD in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the AAQ-II scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the PTGI scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the acceptancecommitment concept nursing can improve the post-traumatic growth scores of the postoperative patients with craniocerebral trauma,and reduce the negative emotion scores and the psychological flexibility scores.Moreover,it is superior to simple routine nursing.
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