摘要
目的分析脑动脉瘤介入治疗患者引进心理行为干预对其心理状况及临床疗效的影响,为其在临床中的应用提供理论性指导。方法选取中南大学湘雅医院于2010年3月～2012年8月收治的68例行脑动脉瘤介入治疗患者,利用随机数字表法将患者随机分为研究组和对照组,每组各34例。两组患者术后均给予常规对症治疗和护理措施,而研究组在此基础上给予心理行为干预护理。两组患者在干预前后均进行焦虑测评量表(SAS)和抑郁测评量表(SDS)的评测,对比两组患者SAS和SDS评分情况,同时记录两组患者心理舒适度和护理满意度情况。结果在干预后第4周末,研究组SAS评分为(44.6±7.3)分,对照组SAS评分为(47.3±6.8)分,两组比较差异有统计学意义(P<0.05);研究组SDS评分为(39.3±6.8)分,对照组SDS评分为(43.1±7.2)分,两组比较差异有统计学意义(P<0.05);研究组患者的护理满意等级为优20例(58.8%),差2例(5.88%),对照组护理满意等级为优14例(41.2%),差6例(17.6%),研究组患者的护理满意度优于对照组,差异有统计学意义(P<0.05);研究组安全感、满足感及尊重感分别为94.1%、91.2%及88.2%,对照组安全感、满足感及尊重感分别为58.8%、55.9%及12.27%,两组比较差异有统计学意义(P<0.05)。结论对于脑动脉瘤行介入治疗患者,应用心理行为干预护理,能够改善患者抑郁、焦虑状况,提高心理舒适度和护理满意度,利于病情的预后康复,临床效益较为可观。
Objective To analyze the influence on psychological status and clinical efficacy of interventional therapy in cerebral aneurysm patient with the introduction of psychological and behavioral intervention care, and provide the oretical guidance for its clinical application. Methods 68 patients with cerebral aneurysm required interventional ther- apy From March 2010 to August 2012 in Xiangya Hospital of Central-South University were selected and randomly di- vided into the study group and the control group according the random number table, with 34 cases in each group. Pa- tients in both groups were treated with conventional symptomatic treatment and care measures, the study group were increased psychological and behavioral intervention care. The patients in two groups were evaluated by SAS Scale and SDS Scale before and after the intervention, the SAS and SDS scores of two groups were compared, meanwhile, the psychological comfort and care satisfaction of two groups were recorded. Results 4 weeks after the intervention, the SAS score of study group was （44.6±7.3） scores and the control group was （47.3±6.8） scores, there was a significant differ ence between two groups （P 〈 0.05）; the SDS scores of study group was （39.3±6.8） scores and the control group was （43.1±7.2） scores, there was a significant difference between two groups （P 〈 0.05）; the nursing satisfaction level of patients in the study group was excellent in 20 cases （58.8%）, 2 cases with poor （5.88%）, the nursing satisfaction level of patients in the control group was excellent in 14 cases （41.2%）, 6 cases with poor （17.6%）, the nursing satisfaction level of pa- tients in the study group were better than the control group, there was a significant difference between two groups （/9 〈 0.05）; the safety sense, satiety response and respect sense of study group were 94.1%, 91.2% and 88.2%, and the con- trol group were 58.8%, 55.9% and 12.27%, there were significant differences between two groups （P 〈 0.05）. Conclu- sion Interventional therapy in cerebral aneurysm patient with the introduction of psychological and behavioral inter- vention care can improve the conditions of patients＇ depression and anxiety, and can improve the psychological comfort and care satisfaction, conducive to disease prognosis rehabilitation, it has more substantial clinical benefit.
出处
《中国医药导报》
CAS
2013年第9期124-126,共3页
China Medical Herald
关键词
心理护理
脑动脉瘤
介入治疗
临床效果
Psychological nursing
Cerebral anemysm
Interventional therapy
Clinical effect
