赋能心理护理模式联合希望理论在颅内动脉瘤患者护理中的应用

Application of empowerment psychological nursing model combined with hope theory in patients with intracranial aneurysms

目的探讨赋能心理护理模式联合希望理论在颅内动脉瘤患者护理中的应用效果。方法随机抽取2015年8月—2019年1月浙江省瑞安市人民医院收治的90例颅内动脉瘤患者,按照随机数表法分为观察组和对照组,各45例。对照组接受常规护理,观察组接受赋能心理护理模式联合希望理论的护理。干预前及干预2个月后采用Herth希望水平量表(HHI)、自我感受负担量表(SPBS)、心理资本问卷(PCQ)、生活质量量表(SF-36)评价两组患者的希望水平、自我感受负担、心理资本、生活质量水平,使用格拉斯哥预后量表(GOS)比较干预2个月后两组患者预后水平。结果干预2个月后,观察组HHI、PCQ、SF-36得分均较干预前升高,且高于对照组,差异有统计学意义(P<0.05)。两组患者SPBS评分均较干预前降低,观察组(27.28±5.06)分,低于对照组的(32.64±4.12)分,差异有统计学意义(P<0.05)。干预2个月后,观察组GOS分级优良率为91.11%(41/45),对照组为80.00%(36/45),但两组差异无统计学意义(P>0.05)。结论赋能心理护理模式联合希望理论能够有效提升颅内动脉瘤患者希望水平及心理资本,降低自我感受负担,改善生活质量。

Objective To explore the application effect of empowerment psychological nursing model combined with hope theory in patients with intracranial aneurysms.Methods A total of 90 patients with intracranial aneurysm who were admitted to Ruian People's Hospital in Zhejiang Province from August 2015 to January 2019 were randomly selected and they were divided into the observation group and the control group according to the random number table method,with 45 patients in each group.The control group received routine nursing,while the observation group received nursing based on empowerment psychological nursing model combined with hope theory.Before the intervention and 2 months after the intervention,Herth Hope Inventory(HHI),Self-Perceived Burden Scale(SPBS),Psychological Capital Questionnaire(PCQ)and Short Form 36-item Health Survey(SF-36)were used to evaluate the hope level,self-perceived burden,psychological capital and quality of life of patients in two groups.The Glasgow Outcome Scale(GOS)was used to compare the prognosis of the two groups after 2 months of intervention.Results After 2 months of intervention,the HHI,PCQ,and SF-36 scores of the observation group were higher than those before the intervention,and higher than those in the control group,and the differences were statistically significant(P<0.05).SPBS scores of patients in both groups were lower than those before intervention,and the score in the observation group was(27.28±5.06),lower than (32.64±4.12) in the control group. The differences were statistically significant (P < 0.05). After 2 months of intervention,the excellent and good rate of GOS classification was 91.11% (41/45) in the observation group and 80.00% (36/45) in the control group,but the difference between the two groups was not statistically significant (P > 0.05). Conclusions Empowerment psychological nursing model combined with hope theory can effectively improve the hope level and psychological capital of patients amd reduce the self-perceived burden,thus improving the quality of life.