心理支持护理干预在颅脑肿瘤患者中的应用效果

Efficacy of professional psychological support nursing intervention in patients with brain tumors

目的探讨心理支持护理干预在颅脑肿瘤患者中的临床应用效果。方法选取2016年2月至2018年2月间山东省青岛市市立医院收治的84例行手术治疗的颅脑肿瘤患者,采用随机数表法分为干预组(采用心理支持护理)和常规组(采用常规护理干预),每组42例。比较两组患者入院时和手术当天的焦虑、抑郁情绪,血流动力学及护理满意度。结果入院时,两组患者汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);手术当天,干预组患者HAMA和HAMD评分较入院时降低,常规组患者HAMA和HAMD评分较入院时升高,且干预组患者HAMA和HAMD评分均低于常规组,差异均有统计学意义(均P<0.05)。入院时,两组患者收缩压(SBP)、舒张压(DBP)和心率(HR)水平比较,差异无统计学意义(P>0.05);手术当天,常规组患者SBP、DBP和HR水平均高于入院时,且高于干预组患者,差异均有统计学意义(均P<0.05)。干预组患者护理满意度为95.2%,高于常规组患者的76.2%,差异有统计学意义(P<0.05)。结论心理支持护理干预在颅脑肿瘤患者中应用,能减轻患者不良情绪,维持血流动力学稳定,提高护理满意度。

Objective To explore the efficacy of professional psychological support nursing intervention in patients with brain tumors. Method A total of 84 patients undergoing surgery for with brain tumors at Qingdao Municipal Hospital from February 2016 to February 2018 were selected. They were randomly divided into an intervention group（ professional psychological support nursing） and a routine group（ conventional nursing intervention） with 42 patients in each group. The anxiety and depression,hemodynamics and nursing satisfaction were compared between the two groups at the time of admission and on the day of surgery. Results On admission,there was no statistically significant difference in Hamilton anxiety scale（ HAMA） and Hamilton depression scale（ HAMD） scores between the two groups（ all P〈0. 05）.On the day of surgery,HAMA and HAMD scores decreased in the intervention group compared with on admission,and the HAMA and HAMD scores in the routine group increased compared with at the time of admission. The scores of HAMA and HAMD in the group were significantly lower than those in the conventional group（ all P〈0. 05）. At the time of admission,there was no statistically significant difference in systolic blood pressure（ SBP） and diastolic blood pressure（ DBP） and heart rate（ HR） between the two groups（ all P〉0. 05）. On the day of surgery,the SBP,DBP,and HR levels were significantly higher than at the time of admission and was higher in the conventional group than in the intervention group（ all P〈0. 05）.The patients＇ satisfaction was 95. 2% in the intervention group which was significantly higher than 76. 2% in the conventional group（ P〈0. 05）.. Conclusion The professional psychological support nursing intervention can relieve patients＇ bad mood,maintain hemodynamic stability,and improve patients＇ satisfaction with care in patients with craniocerebral tumors.