本刊首页 > 期刊目次 > 健康教育联合心理护理对胸主动脉瘤术后患者应激性精神障碍的影响

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健康教育联合心理护理对胸主动脉瘤术后患者应激性精神障碍的影响

  • 马雪萍

* 通信作者: 马雪萍, 单位:河南省省立医院ICU

摘要


目的:研究分析健康教育联合心理护理对胸主动脉瘤术后患者应激性精神障碍的影响。

方法:于2016年02月--2019年02月本院接收的100例胸主动脉瘤患者,作为此次研究之中的观察主体。根据电脑随机分组

方法,将之进一步分成两个小组,其中一组名为常规组;另一组名为研究组,两个小组分别50例。其中常规组实施常规临床护理,研究组则在常规临床护理的同时进行心理护理与健康教育联合干预。

结果:研究组HAMD抑郁评分、HAMA焦虑评分低于常规组(p<0.05);研究组GSES自我效能感评分、Kolcaba舒适状况评分均高于常规组;研究组治疗依从性以及护理总满意度均优于常规组(p<0.05)。

结论:胸主动脉瘤患者通过健康教育联合心理护理干预后,应激性精神障碍显著缓解,自我效能感显著增强,治疗依从性以及身心舒适度进一步提高,同时还提高了患者满意度,值得在临床中大范围应用。

关键词:健康教育;心理护理;胸主动脉瘤;应激性精神障碍;依从性;自我效能

ABSTRACT


Objective: To study and analyze the effect of health education combined with psychological nursing on stress mental disorder of patients with thoracic aortic aneurysm after operation.

Methods: from February 2016 to February 2019, we received 100 patients with thoracic aortic aneurysm as the main body of this study. According to the method of computer random grouping, it was further divided into two groups, one group was named the conventional group, the other group was named the research group, and the two groups were 50 cases respectively. Among them, routine clinical nursing was carried out in the routine group, while the study group combined psychological nursing and health education.

Results: HAMD depression score and HAMA anxiety score in the study group were lower than those in the control group (P < 0.05); GSEs self-efficacy score and kolcab comfort score in the study group were higher than those in the control group; treatment compliance and total nursing satisfaction in the study group were better than those in the control group (P < 0.05).

Conclusion  : after the intervention of health education combined with psychological nursing, the patients with thoracic aortic aneurysm can significantly alleviate the stress mental disorder, enhance the sense of self-efficacy, further improve the treatment compliance and physical and mental comfort, and at the same time, improve the patients' satisfaction, which is worthy of wide application in clinical.

Key words: health education; psychological nursing; thoracic aortic aneurysm; stress mental disorder; compliance; self-efficacy

引用本文 / How to Cite This Article

马雪萍.健康教育联合心理护理对胸主动脉瘤术后患者应激性精神障碍的影响[J]. 国际精神病学杂志, 2020, 47(5): 1068-1071

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