摘要

[摘要]
目的 对垂体瘤手术患者实施坚强概念的护理，探讨其在负性情绪、应对方式的应用效果。

方法 研究对象为2020年1月~2023年6月来本院就诊的120例垂体瘤患者，所有患者均接受手术治疗，根据随机数字表法将其分为观察组（n=60，基于坚强概念的护理联合常规护理）和对照组（n=60，常规护理）；两组患者治疗前、治疗后采用17-汉密顿抑郁量表（17-Hamilton Depression Scale，HAMD-17）、汉密顿焦虑量表（Hamilton Anxiety Scale，HAMA）评估负性情绪，采用心理弹性量表（Connor-Davidson Resilience Scale，CD-RISC）、匹兹堡睡眠质量指数量表（Pittsburgh Sleep Quality Index Scale，PSQI）评估两组患者护理前后心理弹性及睡眠质量；记录两组患者依从性和护理满意度，并对比治疗过程中不良反应发生情况。

结果 观察组护理后HAMA、HAMD-17评分均低于对照组和护理前（P<0.05）。与对照组比，观察组护理后面对评分较高（P<0.05），屈服、回避评分较低（P<0.05）。干预后，观察组坚韧、乐观、自强及CD-RISC量表总分均高于对照组（P<0.05）。干预后，观察组PSQI各维度评分及总分均低于对照组（P<0.05）。两组不良反应总发生率无显著差异（P>0.05）。

结论 基于坚强概念的护理可较好的缓解垂体瘤手术患者负性情绪，增加其心理弹性，提高睡眠质量和护理满意度。

关键词：[关键词]基于坚强概念的护理；垂体瘤；负性情绪；心理弹性；睡眠质量

ABSTRACT

[Abstract]
Objective To explore the application effect of strong concept nursing on negative emotions and coping styles in patients undergoing pituitary tumor surgery.

Methods The research subjects were 120 patients with pituitary tumors who came to the hospital from January 2020 to June 2023. All patients received surgical treatment and were divided into observation group (n=60, strong concept-based nursing combined with routine nursing) and control group (n=60, routine nursing) by adopting random number table method. 17-Hamilton Depression Scale (HAMD-17) and Hamilton Anxiety Scale (HAMA) were used to evaluate the negative emotions of the two groups before and after treatment. Connor-Davidson Resilience Scale (CD-RISC) and Pittsburgh Sleep Quality Index Scale (PSQI) were applied to evaluate the psychological resilience and sleep quality of patients before and after nursing. The compliance and nursing satisfaction in the two groups were recorded, and the adverse reactions during treatment were compared.

Results The HAMA score and HAMD-17 score in the observation group after nursing were lower than those in the control group and before nursing (P<0.05). Compared with the control group, the facing score after nursing in the observation group was higher (P<0.05) while the yielding score and avoidance score were lower (P<0.05). After intervention, the observation group had higher scores of tenacity, optimism and self-improvement and total score of CD-RISC than the control group (P<0.05). The scores of dimensions and total score of PSQI in the observation group after intervention were lower compared to the control group (P<0.05). There was no significant difference in the total incidence of adverse reactions between groups (P>0.05).

Conclusion   Strong concept-based nursing can alleviate the negative emotions of patients with pituitary tumor surgery, increase the psychological resilience, and enhance the sleep quality and nursing satisfaction.

Key words: [Key words] Strong concept-based nursing; Pituitary tumors; Negative emotions; Psychological resilience; Sleep quality