基于应激系统理论的心理护理干预对重症肺炎机械通气患者恐惧情绪及创伤后应激障碍程度的影响

Effects of psychological nursing intervention based on stress system theory on fear emotion and degree of post-traumatic stress disorder in patients with severe pneumonia undergoing mechanical ventilation

目的探讨基于应激系统理论的心理护理干预对重症肺炎机械通气患者恐惧情绪及创伤后应激障碍程度的影响。方法选取2021年3月至2022年2月收治的200例重症肺炎机械通气患者作为研究对象,按护理方式差异将其分为对照组和观察组,各100例。对照组实施常规护理干预,观察组在常规护理基础上实施基于应激系统理论的心理护理干预。比较两组的干预效果。结果干预后,观察组的恐惧疾病进展简化量表(FoP-Q-SF)各维度评分均低于对照组(P<0.05)。干预后,观察组的事件影响量表-修改版(IES-R)各维度评分均低于对照组(P<0.05)。干预后,观察组的动脉血氧饱和度(SaO_(2))、动脉血氧分压(PaO_(2))均高于对照组,动脉血二氧化碳分压(PaCO_(2))低于对照组(P<0.05)。干预后,观察组的积极行为评分高于对照组,消极行为、抵触行为评分均低于对照组(P<0.05)。结论基于应激系统理论的心理护理干预可减轻重症肺炎机械通气患者恐惧情绪及创伤后应激障碍程度,促进血气指标改善,也能提高患者的护理配合度,值得推广。

Objective To explore the effects of psychological nursing intervention based on stress system theory on fear emotion and degree of post-traumatic stress disorder in patients with severe pneumonia undergoing mechanical ventilation.Methods A total of 200 patients with severe pneumonia who received mechanical ventilation admitted from March 2021 to February 2022 were selected as the research objects,and the patients were divided into control group and observation group according to the difference of nursing methods,with 100 cases in each group.The control group was given routine nursing intervention,and the observation group was given psychological nursing intervention based on stress system theory on the basis of routine nursing.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Fear of Progression Questionnaire-Short Form(FoP-Q-SF)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of each dimension of Impact of Event Scale-Revised(IES-R)in the observation group were lower than those in the control group(P<0.05).After intervention,the arterial oxygen saturation(SaO_(2))and partial pressure of oxygen(PaO_(2))in the observation group were higher than those in the control group,and the arterial partial pressure of carbon dioxide(PaCO_(2))was lower than that in the control group(P<0.05).After intervention,the positive behavior score of the observation group was higher than that of the control group,and the negative behavior and conflict behavior scores were lower than those of the control group(P<0.05).Conclusion Psychological nursing intervention based on stress system theory can reduce the fear emotion and degree of post-traumatic stress disorder of patients with severe pneumonia undergoing mechanical ventilation,promote the improvement of blood gas indicators,and also improve the nursing cooperation of patients,which is worth promoting.