Snyder希望理论的护理干预对急性高血压性脑出血患者心理状态、生命质量及神经功能的影响

The effect of Snyder's hope theory nursing on the scores of psychological stress,quality of life and neurological function in patients with acute hypertensive cerebral hemorrhage

目的探究Snyder希望理论的护理干预对急性高血压性脑出血患者心理应激状态评分、生命质量及神经功能的影响。方法选取西安交通大学第二附属医院2017年6月至2018年12月收治的100例急性高血压性脑出血患者作为研究对象。按随机数字表法,将患者分为观察组和对照组各50例。对照组患者给予常规康复护理模式,观察组患者在对照组的基础上给予Snyder希望理论的护理干预。比较2组患者的抢救时间、恢复时间和并发症发生率,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、SF-36生命质量量表和美国国立卫生研究院卒中量表(NIHSS)、格拉斯哥昏迷量表(GCS)分别评价2组患者焦虑、抑郁程度、生命质量和神经功能并比较。结果观察组患者抢救时间为(58.13±10.36)min,恢复时间为(12.7±5.3)d,对照组分别为(85.71±8.30)min、(21.1±3.3)d,2组比较差异有统计学意义(t值为14.691、10.646,均P<0.05)。2组患者干预前SAS、SDS、NIHSS、GCS、SF-36各项评分比较差异无统计学意义(P>0.05),观察组患者干预后SAS、NIHSS、GCS评分分别为(40.56±1.72)、(11.23±2.85)、(13.12±4.11)分,对照组患者分别为(46.56±1.62)、(14.97±4.55)、(11.13±3.15)分,2组比较差异均有统计学意义(t值为17.956、4.926、3.212,P<0.01)。2组患者干预后SF-36各项评分比较差异有统计学意义(t值为7.124~13.014,P<0.01)。观察组患者并发症发生率为8.0%(4/50),明显低于对照组患者的24.0%(12/50),差异有统计学意义(χ^2值为4.762,P<0.05)。结论Snyder希望理论的护理干预对急性高血压性脑出血患者焦虑抑郁情绪状态好转有明显作用,值得推广应用。

Objective To study the effect of Snyder's hope theory nursing on the scores of psychological stress,quality of life and neurological function in patients with acute hypertensive cerebral hemorrhage.Methods From June 2017 to December 2018,100 patients with acute hypertensive cerebral hemorrhage in the Second Affiliated Hospital of Xi′an Jiaotong University were selected as the study object.According to the random number table,the patients were divided into observation group(50 cases)and control group(50 cases).The patients in the control group were given routine rehabilitation nursing mode,and the patients in the observation group received Snyder′s hope theory nursing on the basis of the control group.The rescue time,the recovery time and the incidence of complications of the two groups were compared.The degree of anxiety and depression,neurological function,quality of life of the patients were evaluated by Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),National Institutes of Health Stroke Scale(NHISS),Glasgow Coma Scale(GCS)and SF-36.Results The rescue time and recovery time were(58.13±10.36)min,(12.7±5.3)d in the observation group,and(85.71±8.30)min,(21.1±3.3)d in the control group,and there were significant differences between the two groups(t values were 14.691,10.646,P<0.05).There was no significant difference in SAS,SDS,NIHSS,GCS,SF-36 score before intervention between the two groups(P>0.05).The scores of SAS,NIHSS,GCS after intervention were(40.56±1.72),(11.23±2.85),(13.12±4.11)points in the observation group,and(46.56±1.62),(14.97±4.55),(11.13±3.15)points in the control group,and there were significant differences between the two groups(t values were 17.956,4.926,3.212,P<0.01).There were significant differences in SF-36 after intervention between the two groups(t values were 7.124-13.014,all P<0.01).The incidence of complications was 8.0%(4/50)in the observation group,and 24.0%(12/50)in the control group,and there was significant difference between the two groups(χ^2 value was 4.762,P<0.05).Conclusions Snyder's hope theory nursing has a significant effect on the improvement of anxiety and depression in patients with acute hypertensive cerebral hemorrhage,which is worth popularizing.