基于应激系统理论的护理干预对颅内肿瘤患者心理弹性和睡眠质量的影响

Effect of nursing intervention based on stress system theory on psychological resilience and sleep quality of patients with intracranial tumors

目的探究基于应激系统理论的护理干预对颅内肿瘤患者心理弹性和睡眠质量的影响。方法选取2020年6月至2021年6月于广东省人民医院行颅内肿瘤切除术治疗的98例患者为研究对象,将其按照抽签法随机分为对照组和观察组,各49例。对照组接受优质护理干预,观察组接受基于应激系统理论的护理干预。比较2组患者的心理弹性水平、睡眠质量、生理应激反应、心理状态和术后并发症发生情况。结果2组在干预后的心理弹性量表(CD-RISC)评分均高于干预前,匹兹堡睡眠质量指数量表(PSQI)评分均低于干预前(P均<0.05);观察组的CDRISC评分高于对照组,PSQI评分低于对照组(P均<0.05)。干预后,2组的去甲肾上腺素和皮质醇水平均高于干预前(P均<0.05),而观察组均低于对照组(P均<0.05)。2组在干预后的抑郁自评量表和焦虑自评量表评分均低于干预前(P均<0.05),且观察组均比对照组低(P均<0.05)。观察组的术后并发症总发生率低于对照组(P<0.05)。结论基于应激系统理论的护理干预可提高颅内肿瘤患者的心理弹性水平和睡眠质量,减轻其生理应激反应和负性情绪,且能降低并发症总发生率。

Objective To explore the effect of nursing intervention based on stress system theory on the psychological resilience and sleep quality of patients with intracranial tumors.Methods A total of 98 patients who underwent intracranial tumor resection at Guangdong Provincial People's Hospital from June 2020 to June 2021 were recruited and randomized into a control group and an observation group by using the lottery method,each with 49 cases.The patients in the control group received high-quality nursing intervention,and the patients in the observation group received nursing intervention based on the stress system theory.The psychological resilience level,sleep quality,physiological stress response,psychological state,and postoperative complications were compared between the two groups.Results After the intervention,the scores of the Connor-Davidson resilience scale(CD-RISC)in the two groups were higher than those before the intervention,and the scores of the Pittsburgh sleep quality index(PSQI)were lower than those before the intervention(all P<0.05).The observation group had higher CD-RISC scores and lower PSQI scores than the control group(both P<0.05).After the intervention,the levels of norepinephrine and cortisol in the two groups were higher than those before the intervention(all P<0.05),while the levels in the observation group were lower than those in the control group(both P<0.05).After the intervention,the scores of self-rating depression scale and self-rating anxiety scale in the two groups were lower than those before the intervention(all P<0.05),and the scores of the observation group was lower than those of control group(both P<0.05).The observation group had a lower incidence of postoperative complications than the control group(P<0.05).Conclusion Nursing intervention based on the stress system theory can improve the psychological resilience and sleep quality of patients with intracranial tumors,relieve their physiological stress response and negative emotions,and reduce the total incidence of complications.