高血压脑出血术后康复患者的激励护理效果及对自我效能、生活质量的影响

Effectiveness of Motivational Nursing Care and Effects on Self-efficacy and Quality of Life in Patients Recovering from Hypertensive Cerebral Hemorrhage

目的分析予以高血压脑出血(hypertensive intracerebral hemorrhage,HICH)术后康复患者激励护理的临床效果。方法随机选择2019年1月—2023年3月间徐州市肿瘤医院收治的60例HICH患者,以随机数表法分为两组,采取常规术后康复护理的30例患者纳入对照组,采取激励护理的30例患者纳入观察组。对比两组颅脑损伤程度、心理状态、自我效能感、生活质量及护理满意度。结果观察组颅脑损伤程度轻于对照组,差异有统计学意义(P<0.05)。护理后,观察组SAS、SDS评分为(42.23±6.15)分、(43.40±6.44)分,低于对照组的(48.26±5.74)分、(49.71±6.75)分,差异有统计学意义(t=3.926、3.705,P<0.05)。护理前,两组GSES、SF-36评分比较,差异无统计学意义(P>0.05);护理后,观察组GSES、SF-36评分高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度为93.33%,高于对照组的70.00%,差异有统计学意义(χ^(2)=5.455,P<0.05)。结论激励护理应用于HICH术后康复阶段,可改善患者颅脑损伤程度,调节其负面心理,提升患者自我效能感与生活质量,获得患者认可。

Objective To analyze the clinical effect of motivational nursing care for patients who were given postoperative rehabilitation for hypertensive intracerebral hemorrhage(HICH).Methods Randomly selected 60 HICH patients admitted to Xuzhou Cancer Hospital from January 2019 to March 2023 were randomly divided into two groups using a random number table method.Thirty patients who received routine postoperative rehabilitation care were included in the control group,while thirty patients who received incentive care were included in the observation group.The degree of brain injury,psychological state,self-efficacy,quality of life and nursing satisfaction were compared between the two groups.Results The degree of craniocerebral injury in the observation group was milder than that in the control group,and the difference was statistically significant(P<0.05).After nursing,the SAS and SDS scores of the observation group were(42.23±6.15)points and(43.40±6.44)points,which were lower than those of the control group(48.26±5.74)points and(49.71±6.75)points,and the difference was statistically significant(t=3.926,3.705,P<0.05).Before nursing,there was no statistically significant difference in GSES and SF-36 scores between the two groups(P>0.05);after nursing,the GSES and SF-36 scores in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction rate in the observation group was 93.33%,higher than 70.00%in the control group,and the difference was statistically significant(χ^(2)=5.455,P<0.05).Conclusion Motivational nursing care applied to the postoperative rehabilitation phase of HICH can improve the degree of cranio-cerebral injury,regulate their negative psychology,enhance patients'self-efficacy and quality of life,and gain patients'recognition.