叙事护理在腔隙性脑梗死患者中的应用及对创伤后成长的影响

Application of Narrative Nursing in Patients with Lacunar Infarction and Its Influence on Post-traumatic Growth

目的探讨叙事护理对腔隙性脑梗死(LI)患者的干预效果及对创伤后成长的影响。方法选取郑州大学第一附属医院2022年5月至2023年4月收治的86例LI患者,以随机数字表法分成干预组(43例)与对照组(43例),对照组接受常规心理护理,干预组接受叙事护理,比较两组应用效果。结果干预后,两组创伤后成长评定量表(PTGI)评分升高,干预组较对照组高(P<0.05)。干预后,两组社会影响量表(SIS)评分下降,干预组较对照组低(P<0.05)。干预后,两组面对评分升高,回避、屈服评分下降,干预组面对评分较对照组高,回避、屈服评分较对照组低(P<0.05)。干预后,两组脑卒中专门化生活质量表(SS-QOL)评分升高,干预组较对照组高(P<0.05)。结论LI患者采用叙事护理能够促进患者创伤后成长,减轻病耻感,改善应对方式,提高生活质量。

Objective To explore the effect of narrative nursing on post-traumatic growth in patients with lacunar infarction(LI).Methods A total of 86 LI patients admitted to the First Affiliated Hospital of Zhengzhou University from May 2022 to April 2023 were selected and randomly divided into intervention group(43 cases,narrative nursing)and control group(43 cases,routine psychological nursing).The application effects of the two groups were compared.Results After intervention,the score of post-traumatic growth inventory(PTGI)in both groups were increased,and in comparison of the control group,the intervention group was higher(P<0.05).The social impact scale(SIS)in both groups were decreased,and in comparison of the control group,the intervention group were lower(P<0.05).The avoidance and submission scores of the two groups decreased,and the face scores increased,and in comparison of the control group,the avoidance and submission scores of the intervention group was lower,the face scores were higher(P<0.05).The stroke specialized quality of life(SS-QOL)score in both groups was increased,and in comparison of the control group,the intervention group was higher(P<0.05).Conclusion Narrative nursing for LI patients can promote post-traumatic growth,reduce stigma,improve coping style and improve quality of life.