基于和谐护理理论的护理干预在重症脑出血患者家属ICU后综合征中的应用效果

Effect of nursing intervention based on harmony theory on post-intensive care syndrome-family of patients with severe cerebral hemorrhage

目的:分析基于和谐护理理论的护理干预措施在重症脑出血患者家属ICU后综合征中的应用效果。方法:选取2023年7—12月长沙市第一医院收治的60例重症脑出血患者的承担主要照顾责任的家属60名,采用随机数字表法分为对照组及观察组各30名。对照组采用神经外科常规护理,观察组在神经外科常规护理基础上,接受基于和谐护理理论的护理干预。分别于干预前后,采用汉密尔顿抑郁量表(HAMD)、焦虑自评量表(SAS)、家庭弹性量表(FRAS)评估患者家属的ICU后综合征现状和家庭弹性水平。结果:干预前,两组HAMD、SAS、FRAS评分比较,差异无统计学意义(P>0.05)。干预后,两组HAMD、SAS评分均较干预前下降,且观察组低于对照组;两组FRAS评分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:对重症脑出血患者家属采用基于和谐护理理论的护理干预,能够改善患者家属ICU后综合征症状,提升家庭弹性水平。

Objective To analyze the effect of nursing intervention measures based on harmonious nursing theory in the postintensive care syndrome-family of patients with severe cerebral hemorrhage.Methods The families of 60 cases of severe cerebral hemorrhage transferred to the ICU of Changsha First Hospital from July to December 2023 were selected,and divided into control group and observation group by random number table method,with 30 cases in each group.The control group received the usual nursing intervention,and the observation group received the nursing intervention based on the harmonious nursing theory based on the control group.The current status of ICU syndrome and family resilience were measured by the Hamilton Depression Scale(HAMD),the Self-rating Anxiety Scale(SAS),and the Family Resilience Assessment Scale(FRAS)before and after the intervention.Results Before intervention,there was no significant difference in HAMD,SAS and FRAS scores between the two groups(P>0.05).After intervention,the HAMD score and SAS score decreased in both groups compared with those before intervention,and the score of the observation group were significantly lower than the control group(P<0.05).The FRAS score of both groups was increased compared with those before intervention,and the FRAS score of the observation group was significantly higher than the control group(P<0.05).Conclusions The harmonious nursing theory intervention for the families of severe cerebral hemorrhage patients can improve the post-intensive care syndrome-family and enhance the level of family elasticity.