基于希望理论的心理护理在癫痫患者中的应用效果

Application effects of psychological nursing based on hope theory in patients with epilepsy

目的:观察基于希望理论的心理护理在癫痫患者中的应用效果。方法:选取2021年10月至2022年10月该院收治的62例癫痫患者进行前瞻性研究,按照随机数字表法将其分成观察组与对照组各31例。对照组实施常规护理,观察组在对照组基础上实施基于希望理论的心理护理,两组均护理6个月。比较两组护理前后希望[Herth希望量表(HHI)]、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、病耻感[社会影响量表(SIS)]、自我接纳[自我接纳问卷(SAQ)]、生命质量[癫痫患者生活质量评定量表-31(QOLIE-31)]评分,以及护理满意度。结果:护理后,观察组HHI、SAQ、QOLIE-31评分均高于对照组,差异有统计学意义(P<0.05);护理后,观察组SAS、SDS、SIS评分均低于对照组,差异有统计学意义(P<0.05);观察组护理满意度为96.77%(30/31),高于对照组的74.19%(23/31),差异有统计学意义(P<0.05)。结论:基于希望理论的心理护理应用于癫痫患者可提高希望、自我接纳、生命质量评分和护理满意度,降低负性情绪、病耻感评分,效果优于常规护理。

Objective:To observe application effects of psychological nursing based on hope theory in patients with epilepsy.Methods:A prospective study was conducted on 62 patients with epilepsy admitted to the hospital from October 2021 to October 2022.According to the random number table method,they were divided into observation group and control group,31 cases in each group.The control group was given routine nursing,while the observation group was given psychological nursing based on hope theory on the basis of that of the control group.Both groups were treated for 6 months.The scores of hope[Herth hope index(HHI)],negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],stigma[social impact scale(SIS)],self-acceptance[self-acceptance questionnaire(SAQ)]and quality of life[quality of life in epileps-31(QOLIE-31)]before and after the nursing,and the nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of HHI,SAQ and QOLIE-31 in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the scores of SAS,SDS and SIS in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 96.77%(30/31),which was higher than 74.19%(23/31)of the control group,and the difference was statistically significant(P<0.05).Conclusions:The psychological nursing based on hope theory in the patients with epilepsy can improve the scores of hope,self-acceptance,quality of life and the nursing satisfaction,and reduce the scores of negative emotion and stigma.Moreover,it is superior to the routine nursing.