基于时效性激励理念的心理护理应用于脑出血患者的效果研究

A Research of Time-Sensitive Incentive Theory-Based Mental Nursing in Cerebral Hemorrhage Patients

目的探讨基于时效性激励理念的心理护理在脑出血患者中的应用效果。方法临床纳入2019年6月至2021年12月期间驻马店市中心医院神经内科收治的82例脑出血患者,按随机数字表法分为两组,各41例。对照组患者采用常规护理,研究组则实施基于时效性激励理念的心理护理。两组均干预1个月,比较两组干预前后中文版心理弹性量表(CD-RISC)、临床神经功能缺损程度评分(NDS)、Fugl-Meyel运动功能评估量表(FMA)、功能综合评定量表(FCA)、健康调查简表(SF-36)评分及护理满意度。结果干预前两组研究对象的心理弹性各项指标比较,差异无统计学意义(P>0.05),干预后研究组心理弹性高于对照组,差异有统计学意义(P<0.05);干预前,两组NDS、FMA、FCA比较,差异无统计学意义(P>0.05),干预后,研究组NDS、FMA、FCA评分优于对照组,差异有统计学意义(P<0.05);干预前两组患者生活质量评分比较,差异无统计学意义(P>0.05);干预后,两组生活质量各评分均较干预前升高,研究组生活质量评分各项指标均高于对照组,差异有统计学意义(P<0.05);研究组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论基于时效性激励理念的心理护理可有效提高脑出血患者的心理弹性,减轻其神经功能缺损,提高运动功能及日常生活功能,改善其生活质量,患者满意度较高,值得应用到临床。

Objective To discuss the applied effects of time-sensitive incentive theory-based mental nursing in cerebral hemorrhage patients.Methods A total of 82 cerebral hemorrhage patients treated in neurology department,Zhumadian Central Hospital from June 2019 to December 2021 were selected.According to random number table,patients were divided into control group(N=41,routine care)and study group(N=41,time-sensitive incentive theory-based mental nursing).After one month of care,Connor-Davidson Psychological Elasticity Scale(CD-RISC),Neurological Deficit Scale(NDS),Fugl-Meyel Assessment(FMA),Functional Comprehensive Assessment(FCA)and health survey brief table(SF-36)scores as well as nursing satisfaction were compared between two groups before and after the intervention.Results Before intervention,the mental elasticity scores between groups showed no statistically significant difference(P>0.05);After intervention,the mental elasticity scores in the study group were higher than control group,with statistically significant difference(P<0.05);Before intervention,NDS,FMA and FCA scores between groups showed no statistically significant difference(P>0.05);After intervention,NDS,FMA and FCA scores in the study group were better than control group,with statistically significant difference(P<0.05);Before intervention,the life quality scores between groups showed no statistically significant difference(P>0.05);After intervention,the life quality scores for two groups were increased,and related scores in the study group were even higher than control group,with statistically significant differences(P<0.05);The nursing satisfaction in the study group was higher than control group,with statistically significant difference(P<0.05).Conclusion The time-sensitive incentive theory-based mental nursing can reduce the neurological deficit,and improve the mental elasticity,motor function,daily living activity,life quality and nursing satisfaction.It is worthy of clinical application.