激励式心理护理在外伤性鼓膜穿孔患者中的应用效果

Application effects of incentive psychological nursing in patients with traumatic tympanic membrane perforation

目的:观察激励式心理护理在外伤性鼓膜穿孔患者中的应用效果。方法:选取2017年3月至2022年3月该院收治的120例外伤性鼓膜穿孔患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各60例。对照组实施常规护理,观察组在对照组基础上实施激励式心理护理,比较两组护理前后Connor-Davidson心理弹性量表(CD-RISC)评分、症状自评量表(SCL-90)评分、应对方式[特质应对方式问卷(TCSQ)]评分、生命质量[简明健康调查量表(SF-36)]评分,并发症发生率和护理满意度。结果:护理后,两组坚韧、自强、乐观评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组精神、偏执、躯体化、强迫症、人际关系敏感、抑郁、焦虑、敌对、恐怖评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组积极应对评分均高于护理前,且观察组高于对照组,两组消极应对评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为1.67%,低于对照组13.33%,差异有统计学意义(P<0.05);两组生理职能、健康状况、情感职能、精神健康等各项SF-36评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为96.67%,高于对照组的75.00%,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用激励式心理护理可提高外伤性鼓膜穿孔患者CD-RISC评分、生命质量评分和护理满意度,改善TCSQ评分,以及降低SCL-90评分和并发症发生率的效果优于单纯常规护理效果。

Objective:To observe application effects of incentive psychological nursing in patients with traumatic tympanic membrane perforation.Methods:A prospective study was conducted on 120 patients with traumatic tympanic membrane perforation admitted to this hospital from March 2017 to March 2022.They were divided into control group and observation group according to the random number table method,60 cases in each group.The control group was given routine nursing,and the observation group was given the incentive psychological nursing on the basis of the control group.The psychological Connor-Davidson resilience scale(CD-RISC)score,the symptom checklist-90(SCL-90)score,the coping style[trait coping style questionnaire(TCSQ)]score,the quality of life[short form health survey scale(SF-36)]score before and after the nursing,the incidence of complications,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of tenacity,self-improvement and optimism in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of mental,paranoid,somatization,obsessive-compulsive disorder,interpersonal sensitivity,depression,anxiety,hostility and terror in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The positive coping scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;the negative coping scores of the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 1.67%,which was lower than 13.33%in the control group,the difference was statistically significant(P<0.05).The SF-36 scores of physiological function,health status,emotional function and mental health in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 96.67%,which was higher than 75.00%of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the incentive psychological nursing can improve the CD-RISC scores,the quality of life scores and the nursing satisfaction of the patients with traumatic tympanic membrane perforation,improve the TCSQ scores,and reduce the SCL-90 scores and the incidence of complications.Moreover,it is superior to single routine nursing.