叙事护理对改善帕金森病脑深部电刺激手术患者疾病不确定感及焦虑情绪的影响

Effect of Narrative Nursing on Improving Disease Uncertainty and Anxiety in Patients Undergoing Deep Brain Stimulation for Parkinson Disease

目的:探讨叙事护理对改善帕金森病(Parkinson disease,PD)脑深部电刺激手术(deep brain stimulation,DBS)患者疾病不确定感及焦虑情绪的影响。方法:选取2019年4月1日-2021年3月31日笔者所在医院外科收治的67例拟行DBS手术的PD患者,按入院顺序将其分为对照组(34例)和观察组(33例)。对照组实施围手术期常规护理,观察组在对照组基础上于术前应用叙事护理。比较两组护理前、术前1 h、术后24 h心率(HR)、平均动脉压(MAP)、焦虑情绪及疾病不确定感。结果:护理前,两MAP、HR、S-AI评分、T-AI评分及疾病不确定感评分比较差异均无统计学意义(P>0.05);术前1 h、术后24 h,观察组MAP、HR、S-AI评分、T-AI评分及疾病不确定感评分均低于对照组,差异有统计学意义(P<0.05)。结论:叙事护理可以降低PD患者DBS围手术期MAP、HR波动,有效改善患者疾病不确定感和焦虑情绪。

Objective:To explore the effect of narrative nursing on improving disease uncertainty and anxiety in patients undergoing deep brain stimulation (DBS) for Parkinson disease (PD).Method:A total of 67 patients with PD who planned to undergo DBS admitted in the department of surgery in our hospital from April 1st,2019 to March 31th,2021 were selected.They were divided into the control group (n=34) and the observation group (n=33) according to the order of admission.The control group was given routine nursing during perioperative period,and the observation group was given preoperative narrative nursing on the basis of the control group.The heart rate (HR),mean arterial pressure (MAP),anxiety and disease uncertainty were compared between the two groups before nursing,1 h before surgery and 24 h after surgery.Result:Before nursing,there were no significant differences in MAP,HR,S-AI score,T-AI score and disease uncertainty score between the two groups (P>0.05).MAP,HR,S-AI score,T-AI score and disease uncertainty score of the observation group were lower than those of the control group at 1 h before surgery and 24 h after surgery,the differences were statistically significant (P<0.05).Conclusion:Narrative nursing can reduce the fluctuation of MAP and HR in patients with PD during perioperative period of DBS,and effectively improve the disease uncertainty and anxiety of patients.