基于应激系统理论的护理干预对脑卒中后偏瘫患者心理灵活性和创伤后成长的影响

Effect of nursing intervention based on stress system theory on mental flexibility and post-traumatic growth of patients with hemiplegia after stroke

目的探讨基于应激系统理论的护理干预对脑卒中后偏瘫患者心理灵活性和创伤后成长的影响。方法选取2019年9月至2020年9月聊城市第四人民医院收治的脑卒中后偏瘫患者78例,采用随机数字表将患者分为观察组39例及对照组39例,对照组行神经内科常规性护理指导,观察组在常规护理基础上实施基于应激系统理论的护理干预,比较两组干预前后心理灵活性、创伤后成长、应对方式及生活质量。结果干预后观察组创伤后成长总评分、面对评分及脑卒中影响量表(SIS)评分较对照组显著提高(P<0.05),而干预后观察组心理灵活性总评分、回避评分、屈服评分较对照组显著下降(P<0.05)。结论基于应激系统理论的护理干预能有效提高脑卒中偏瘫患者心理灵活性,促进患者创伤后成长,使患者能以积极的态度面对疾病,促进患者身心健康,改善生活质量。

Objective To explore the effect of nursing intervention based on the theory of stress system on the psychological flexibility and post-traumatic growth of patients with hemiplegia after stroke.Methods A total of 78 patients with hemiplegia after stroke admitted to the Fourth People's Hospital of Liaocheng City from September 2019 to September 2020 were selected and divided into observation group and control group by random number table,39 cases in each group.The control group received routine nursing guidance of neurology department,while the observation group received nursing intervention based on stress system theory on the basis of routine nursing.The psychological flexibility,post-traumatic growth,coping style and quality of life of the two groups were compared before and after intervention.Results After intervention,the total score of post-traumatic growth,face score and Stroke Impact Scale(SIS)in the observation group were significantly higher than those in the control group(P<0.05),while the total score of psychological flexibility,avoidance score and yield score in the observation group were significantly lower than those in the control group(P<0.05).Conclusions Nursing intervention based on stress system theory can effectively improve the psychological flexibility of stroke patients with hemiplegia,promote the post-traumatic growth of patients,so that patients can face the disease with a positive attitude.It can promote the patients'physical and mental health,and improve the quality of life.