提升希望感的心理护理结合人文关怀对脑肿瘤患者希望水平和应对方式的影响

Effects of perception of hope improvement targeted psychological care combined with humanistic careon hopelevel and coping styles inpatients with braintumors

目的探讨提升希望感的心理护理结合人文关怀对脑肿瘤患者希望水平和应对方式的影响。方法选取2019年6月至2021年4月间上海市杨浦区中心医院收治的67例脑肿瘤患者,随机分为观察组34例和对照组33例,对照组患者采用常规人文关怀护理干预,观察组患者在对照组基础上结合采用提升希望感的心理护理,比较两组患者的抑郁和焦虑程度、希望水平、应对方式和护理满意度。结果干预后,两组患者焦虑和抑郁评分均低于护理前,且观察组焦虑和抑郁均低于对照组,差异均有统计学意义(均P<0.05)。干预后,两组患者希望与未来的积极态度、与他人维持亲密关系、采取积极行动评分和总分均高于护理前,且观察组评分均高于对照组,差异均有统计学意义(均P<0.05)。干预后,两组患者应对方式各项评分均优于护理前,且观察组自责、幻想和退避评分低于对照组,求助、合理化和解决问题评分均高于对照组,差异均有统计学意义(均P<0.05)。观察组患者护患沟通、护理技术、护理服务态度和病区环境评分均高于对照组,差异均有统计学意义(均P<0.05)。结论脑肿瘤患者采用提升希望感的心理护理结合人文关怀护理干预,可提高患者的希望水平和应对方式。

Objective To explore the effects of perception of hope improvement targeted psychological care combined with humanistic care on hope level and coping styles in patients with brain tumors.Methods A total of 67 patients with brain tumors were enrolled at Shanghai Yangpu District Central Hospital between June 2019 and April 2021.They were randomly divided into an observation group(34 patients)and a control group(33 patients).The observation group received perception of hope improvement targeted psychological care combined with humanistic care,and the control group received conventional humanistic care.Psychological depression,anxiety,hope level,coping styles and patient satisfaction were assessed between the two groups.Results After nursing,anxiety and depression scores decreased in both groups and these scores were lower in the observation group than in the control group(all P<0.05).After nursing,hope level,proactivity,intimacy and active coping skill scores and the overall score were improved in both groups compared with those before nursing and these scores were higher in the observation group than in the control group(all P<0.05).After intervention,coping type scores were improved in both groups compared with those before intervention,the scores of self-blame,fantasy and withdrawal were lower in the observation group than in the control group,and scores of seeking help,rationalization and problem solving were higher in the observation group than in the control group(all P<0.05).After nursing,scores of nurse-patient communication,nursing skills,attitudes towards nursing service and ward environment were higher in the observation group than in the control group(all P<0.05).Conclusion Perception of hope improvement targeted psychological care combined with humanistic care can improve hope level and coping styles in patients with brain tumor.