认知-心理-社会支持干预对脑出血患者的效果分析

Effect of cognitive psychological social support intervention on patients with cerebral hemorrhage

目的探讨认知-心理-社会支持干预对脑出血患者的效果分析。方法选择2018年4月至2020年4月本院收治的脑出血患者132例,根据入院顺序分为对照组和观察组各66例。对照组采取常规干预,观察组在对照组基础上给予认知-心理-社会支持干预,时间为60d。统计两组健康知识知晓率、护理满意度,比较术前、术后30d、60d病耻感(SSCI)、心理适应(SCL-90)、创伤后成长(PTGI)、社会支持度(SSRS)。结果(1)健康知识知晓率:观察组健康知识知晓率高于对照组(P<0.05);(2)SCL-90评分:术后30d、60d观察组焦虑、敌对、恐怖、抑郁评分低于对照组(P<0.05);(3)SSCI评分:术后30d、60d观察组外在及内在病耻感评分低于对照组(P<0.05);(4)PTGI评分:术后30d、60d观察组与他人关系、人生感悟、个人力量评分高于对照组(P<0.05);(5)SSRS评分:术后30d、60d观察组客观支持、主观支持、对社会的利用度评分高于对照组(P<0.05);(6)护理满意度:观察组护理满意度高于对照组(P<0.05)。结论认知-心理-社会支持干预应用于脑出血患者,有助于提高健康知识知晓率及社会支持度,改善心理适应能力,减轻病耻感,促进创伤后成长,提升护理满意度。

Objective To explore the effect of cognitive psychological social support intervention on patients with cerebral hemorrhage.Methods A total of 132 patients with cerebral hemorrhage in our hospital from April 2018 to April 2020 were selected and divided into two groups according to the order of admission,with 66 cases in each group.The control group received routine intervention,and the observation group received cognitive psychological social support intervention based on the control group for 60 days.The awareness rate of health knowledge and nursing satisfaction of the two groups were statistically analyzed,and the stigma(SSCI),psychological adaptation(SCL-90),post-traumatic growth(PTGI)and social support(SSRS)before operation and 30d,60d after operation were compared.Results(1)The awareness rate of health knowledge:the awareness rate of health knowledge in the observation group was higher than that in the control group(P<0.05);(2)SCL-90 score:the scores of anxiety,hostility,terror and depression in the observation group were lower than those in the control group 30d and 60d after operation(P<0.05);(3)SSCI score:the scores of external and internal stigma in the observation group were lower than those in the control group 30d and 60d after operation(P<0.05);(4)PTGI score:30d and 60d after operation,the scores of relationship with others,life perception and personal strength in the observation group were higher than those in the control group(P<0.05);(5)SSRS score:30d and 60d after operation,the scores of objective support,subjective support and utilization of society in the observation group were higher than those in the control group(P<0.05);(6)nursing satisfaction:the nursing satisfaction in the observation group was higher than that in the control group(P<0.05).Conclusion The application of cognitive psychological social support intervention in patients with cerebral hemorrhage is helpful to improve the awareness rate of health knowledge and social support,improve psychological adaptability,reduce stigma,promote post-traumatic growth and improve nursing satisfaction.