AIDET沟通模式对前庭性偏头痛患者心理状态、自护能力的影响

Effect of AIDET communication model on the psychological state and self-care ability of vestibular migraine patients

目的观察分析在前庭性偏头痛患者护理中,开展AIDET沟通模式对患者心理状态、自护能力的影响。方法选取2021年2月—2022年2月在医院收治的88例前庭性偏头痛患者作为研究对象,按照组间基本特征具有可比性的原则分为对照组与观察组,各44例。对照组采用常规的护理模式进行干预,观察组患者采用AIDET沟通模式进行护理干预。比较两组患者病症改善状况、心理状态、生活质量、自护能力变化情况。结果与护理干预前相比,干预后两组患者头痛程度、病症维持时间、症状发作次数、抑郁量表(DASS-D)、焦虑量表(DASS-A)、压力量表(DASS-S)评分均有所下降,但观察组低于对照组;而两组患者角色功能、社会功能、认知能力、自护责任感、自我概念、自我护理技能、自我护理能力、健康知识掌握水平均有所上升,观察组高于对照组;组间比较差异均有统计学意义(P<0.05)。结论通过基于AIDET沟通模式实施护理,可有效对前庭性偏头痛患者病情进行干预,能够提升患者日常生活质量、自护能力,改善心理状态,以更好的状态积极应对治疗。

Objective To observe and analyze the effects of conducting the AIDET communication model on patients'psychological state and self-care ability in the care of patients with vestibular migraine.Methods 88 cases of vestibular migraine patients admitted to the hospital from February 2021 to February 2022 were selected as the study subjects.The 88 cases of vestibular migraine admitted to the hospital from February 2021 to February 2022 were selected for the study.In the control group,the intervention was carried out by using the conventional nursing model,in the observation group,the patients were given the AIDET communication model nursing intervention.The patients in the two groups were compared in terms of their improvement in illness,psychological status,quality of life and self-care.Results Compared with the pre-intervention period,the degree of headache,duration of illness,number of symptom attacks,Depression Anxiety Stress Scale-Depression(DASS-D),Depression Anxiety Stress Scale-Anxiety(DASS-A)and Depression Anxiety Stress Scale-Stress(DASS-S)scores of patients in both groups decreased after the intervention,but the observation group had lower scores than the control group.In the two groups,patients'role function,social function,cognitive ability,sense of self-care responsibility,self-concept,self-care skills,self-care ability and health knowledge all increased,and the observation group was higher than the control group;the difference between the groups was statistically significant(P<0.05).Conclusion The AIDET communication model can effectively intervene in the condition of vestibular migraine patients and improve their daily quality of life and self-care ability.It can improve patients'quality of life,self-care ability and psychological state,and the patients can actively cope with treatment in a better condition.