人文关怀护理在神经外科颅脑损伤患者中的应用价值研究

Application Value of Humane Care in Patients with Neurosurgical Craniocerebral Injury

目的:探讨人文关怀护理在神经外科颅脑损伤患者中的应用价值。方法:选取2018年1月-2019年1月在福建医科大学附属第二医院神经外科就诊的85例颅脑损伤患者,随机分为观察组(常规护理+人文关怀护理,45例)及对照组(常规护理,40例)。采用焦虑自评量表(SAS)及抑郁自评量表(SDS)比较两组患者干预前后焦虑抑郁情绪的变化情况;比较两组住院满意度及生存质量。结果:观察组护理总满意度为84.44%,高于对照组的62.50%,差异有统计学意义(χ^2=6.948,P=0.031)。护理前两组SAS、SDS评分比较差异无统计学意义(P>0.05),护理后两组评分均低于护理前,且观察组低于对照组,差异均有统计学意义(P<0.05)。护理后观察组角色功能、情绪功能及社会功能评分均优于对照组,差异均有统计学意义(P<0.05),两组躯体功能及认知功能评分比较差异无统计学意义(P>0.05)。结论:人文关怀护理可以有效减轻颅脑损伤患者的焦虑、抑郁情绪,提高患者满意度,并提高患者的生活质量。

Objective:To explore the value of human care nursing in patients with neurosurgical craniocerebral injury.Method:From January 2018 to January 2019,85 patients with craniocerebral injury were selected in neurosurgery department of the Second Affiliated Hospital of Fujian Medical University.They were randomly divided into observation group(conventional nursing+human care care,45 cases)and control group(conventional care,40 cases).The anxiety self-rating scale(SAS)and depression self-rating scale(SDS)were used to compare the changes of anxiety and depression between the two groups before and after intervention.The hospitalization satisfaction and quality of life of the two groups were compared.Result:The overall satisfaction of the observation group was 84.44%,which was higher than 62.50%of the control group,the difference was statistically significant(χ^2=6.948,P=0.031).There were no significant differences in baseline SAS and SDS scores between the two groups before treatment(P>0.05).However,the scores of SAS and SDS in the two groups were lower than those before treatment,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).After nursing,the scores of role function,emotional function and social function in the observation group were better than those in the control group(P<0.05),but there was no significant difference in physical function and cognitive function between the two groups(P>0.05).Conclusion:Humanistic care can effectively alleviate anxiety and depression in patients with craniocerebral injury,improve patient satisfaction,and improve patients’quality of life.