心理护理干预对颅内动脉瘤术后影响分析

Analysis of the Influence of Psychological Nursing Intervention on Intracranial Aneurysm Surgery

目的探讨心理护理干预对颅内动脉瘤术后影响。方法方便选择该院2017年2月—2019年2月就诊并进行颅内动脉瘤手术患者40例作为研究对象,按照患者进行手术先后时间分为对照组(20例)与研究组(20例),对照组、研究组分别进行常规护理,常规护理+心理护理,比较两组患者术后苏醒时、术后3 d、出院时焦虑与抑郁评分,术后相关指标,生活质量评分与护理满意度。结果术后苏醒时,对照组与研究组焦虑评分、抑郁评分差异无统计学意义(t=0.135、0.190,P=0.893、0.850>0.05);术后3 d、出院时研究组患者焦虑(50.13±1.55)分、抑郁评分(53.14±2.14)分,显著低于对照组(54.04±1.43)分、(56.01±2.10)分,对比差异有统计学意义(t=8.292、7.326、4.281、6.024,P<0.05);研究组心率(77.66±4.50)次/min、平均动脉压(11.60±1.25)KPa、血浆皮质醇(25.00±1.64)ng/L、空腹血糖(4.40±0.23)mmol/L与对照组(82.34±4.73)次/min、(13.68±1.36)KPa、(28.68±1.76)ng/L、(4.88±0.35)mmol/L相比,对比差异有统计学意义(t=3.206、5.0.36、5.126、6.841,P<0.05);研究组生理指标、心理指标、社会功能、自理能力评分与对照组相比差异有统计学意义(t=4.044、4.384、5.850、4.713,P<0.05);研究组护理满意度(95.00%)显著高于对照组(65.00%),对比差异有统计学意义(χ^(2)=3.906,P<0.05)。结论对颅内动脉瘤患者进行心理护理效果显著。

Objective To explore the effect of psychological nursing intervention on intracranial aneurysm surgery.Methods It is convenient to select 40 patients with intracranial aneurysm surgery in this hospital from February 2017 to February 2019 as the research object.and were divided into the control group(20 cases)and the study group(20 cases)according to the time of surgery,the control group,and the study group received routine care,routine care+psychological care,and compared the scores of anxiety and depression at the time of postoperative recovery,3 days after surgery,discharge from hospital,and postoperative related indicators,quality of life score and nursing satisfaction between the two groups.Results When waking up after surgery,there was no statistically significant difference in anxiety score and depression score between the control group and the study group(t=0.135,0.190,P=0.893,0.850>0.05);3 d after operation,the study group was anxious(50.13±1.55)points,depression score(53.14±2.14)points,significantly lower than the control group(54.04±1.43)points,(56.01±2.10)points,the difference was statistically significant(t=8.292,7.326,4.281,6.024,P<0.05);study group heart rate(77.66±4.50)beats/min,mean arterial pressure(11.60±1.25)KPa,plasma cortisol(25.00±1.64)ng/L,fasting blood glucose(4.40±0.23)mmol/L,etc.Compared with the control group(82.34±4.73)times/min,(13.68±1.36)KPa,(28.68±1.76)ng/L,(4.88±0.35)mmol/L,the relative indicators showed statistically significant differences(t=3.206,5.0.36,5.126,6.841,P<0.05);the physiological indexes,psychological indexes,social function,and self-care ability scores of the study group were significantly different from those of the control group(t=4.044,4.384,5.850,4.713,P<0.05);the nursing satisfaction of the study group(95.00%)was significantly higher than that of the control group(65.00%),and the difference was statistically significant(χ^(2)=3.906,P<0.05).Conclusion Psychological nursing for patients with intracranial aneurysm is effective.