基于一对一访谈模式的治疗性沟通在老年脑卒中病人护理干预中的应用

Application of therapeutic communication based on one to one interview model in nursing intervention for elderly patients with stroke

[目的]观察基于一对一访谈模式的治疗性沟通在老年脑卒中病人护理干预中的应用效果。[方法]将94例老年脑卒中病人采用随机数字表法分为观察组和对照组各47例,对照组给予神经内科常规护理,观察组在常规护理的基础上采用基于一对一访谈模式的治疗性沟通护理干预,采用希望水平量表(HHI)和特质应对方式问卷(TCSQ)进行心理评估,比较两组病人的治疗效果。[结果]干预后观察组病人对现实和未来的态度、采取积极的行动的态度、与他人保持亲密关系评分均明显高于对照组(P<0.05),积极应对评分明显高于对照组、消极应对评分明显低于对照组(P<0.05),总有效率明显高于对照组(P<0.05)。[结论]基于一对一访谈模式的治疗性沟通护理干预有助于改善老年脑卒中病人希望水平,优化应对方式,提高治疗效果。

Objective：To observe the application effect of therapeutic communication based on one to one interview model in nursing intervention for elderly patients with stroke.Methods：A total of 94 elderly stroke patients were randomly divided into observation group and control group with 47 cases in each group by using random number table.The patients in control group were given routine neurology nursing,and the patients in observation group were given nursing intervention of therapeutic communication based on one to one interview model and routine neurology nursing,then the psychological assessment was conducted by using the level of Herth hope index（HHI）and Trait Coping Style Questionnaire（TCSQ）and then to compare the curative effect between both groups.Results：After intervention,the scores of patients＇ attitude to the reality and the future,attitude to take positive action and maintain a close relationship with others in observation group were significantly higher than those in control group（P〈0.05）,positive coping score was significantly higher than that in control group,negative coping score was significantly lower than that in control group（P〈0.05）,the total efficiency was significantly higher than that in control group（P〈0.05）.Conclusion：Nursing intervention of therapeutic communication based on one to one interview model was helpful to improve the hope level of the elderly patients with stroke,optimize the coping style and improve the curative effect.