基于潮汐理论模型的护理干预改善中枢神经系统脱髓鞘患者负性情绪的效果研究

Effects of nursing intervention based on tidal theory model on the improvement of negative emotions in patients with central nervous system inflammatory demyelination

目的探讨基于潮汐理论模型的护理干预对中枢神经系统脱髓鞘患者负性情绪的改善效果。方法选取2017-10—2019-04入住南京鼓楼医院神经内科的中枢神经系统脱髓鞘患者为研究对象,对照组和干预组各29例。对照组按照常规护理模式给予护理干预,干预组在对照组基础上实施基于潮汐理论模型的护理干预。分别在入院当天和出院时(第15天)比较2组患者的自我效能感及激惹、抑郁和焦虑量表(IDA)得分情况。结果出院时干预组患者的自我效能感得分24.07±5.48,明显高于对照组(P<0.05),IDA评分总分46.41±4.00,其中焦虑部分得分12.07±2.11,抑郁部分得分11.78±1.396,内向激惹部分得分10.96±2.028,均明显低于对照组(P<0.05)。结论基于潮汐理论模型的护理干预能够有效地改善中枢神经系统脱髓鞘患者的负性情绪,提高患者的生活质量。

Objective To investigate the effect of nursing intervention based on tidal theory model on negative emotion in patients with central nervous system inflammatory demyelination. Methods Patients with central nervous system inflammatory demyelination who were admitted to our department from October 2017 to April 2019 were selected as the research objects. 58 patients were randomly divided into control group and intervention group,with 29 cases in each group. The control group was given nursing care according to the nursing mode,and the intervention based on the tidal theory model was carried out on the basis of the control group in intervention group. Patients. self-efficacy,irritability,depression,and anxiety(IDA)scores were compared between the two groups on admission day and at discharge day(15 days). Results After intervention,the self-efficacy score of the experimental group was significantly higher than that of the control group(P<0.05),and the irritability,depression and anxiety scale(IDA)score was significantly lower than that of the control group(P<0.05). Conclusion The nursing intervention based on tidal theory model can effectively improve the negative emotions of patients with central nervous system inflammatory demyelination inflammatory demyelination and improve their quality of life.