醫(yī)護(hù)聯(lián)合實(shí)施共情式心理護(hù)理查房在動脈瘤手術(shù)患者中的應(yīng)用

　　[摘要] 目的 醫(yī)護(hù)聯(lián)合實(shí)施共情式心理護(hù)理查房在動脈瘤手術(shù)患者中的應(yīng)用。方法 選取2015年12月～2016年12月在我院擬行動脈瘤手術(shù)的患者76例，按照隨機(jī)數(shù)字表法分為實(shí)驗(yàn)組和對照組，各38例。兩組均行對癥治療，其中對照組實(shí)施常規(guī)查房指導(dǎo)，實(shí)驗(yàn)組則實(shí)施醫(yī)護(hù)聯(lián)合實(shí)施共情式心理干預(yù)查房。分別對兩組患者的護(hù)理效果、生活質(zhì)量簡表（QOL-BREF）和醫(yī)學(xué)應(yīng)對問卷量表（MCMQ）進(jìn)行客觀比較。同時(shí)采用心理癥狀自評量表（SCL-90）對患者干預(yù)前后的心理狀態(tài)分值變化進(jìn)行評估。 結(jié)果 實(shí)驗(yàn)組患者的住院時(shí)間和癥狀消失時(shí)間、并發(fā)癥發(fā)生情況及治療依從性等護(hù)理效果明顯優(yōu)于對照組患者（P<0.05）；實(shí)驗(yàn)組MCMQ量表中的面對分與對照組比較差異不顯著（P>0.05），但前者的回避分和屈服分明顯優(yōu)于對照組（P<0.05）；與干預(yù)前相比，干預(yù)后患者的SCL-90量表評分明顯更優(yōu)，且實(shí)驗(yàn)組患者的評分優(yōu)于對照組（P<0.05）；另外，實(shí)驗(yàn)組患者的QOL-BREF評分明顯亦高于對照組（P<0.05）。 結(jié)論 醫(yī)護(hù)聯(lián)合實(shí)施共情式心理干預(yù)可以有助于改善動脈瘤手術(shù)圍術(shù)期間的不良心理狀態(tài)，在一定程度上使患者采用更為積極的行為配合治療，進(jìn)而減少不良反應(yīng)的發(fā)生，并輔助促進(jìn)患者預(yù)后的生活質(zhì)量。
　　[關(guān)鍵詞] 醫(yī)護(hù)聯(lián)合；共情式；心理干預(yù)；動脈瘤手術(shù)；生活質(zhì)量
　　[中圖分類號] R473.6 [文獻(xiàn)標(biāo)識碼] B [文章編號] 1673-9701（2018）08-0153-04
　　Application of medical staffs carrying out empathetic psychological nursing rounds for patients undergoing aneurysm surgery
　　LI Dongmei WANG Hongxia LIU Siheng HUANG Huijun PAN Yingying
　　Department of Neurosurgery， the First Affiliated Hospital of Wenzhou Medical University，Wenzhou 325000， China
　　[Abstract] Objective The application of implementing empathetic psychological nursing rounds for patients undergoing aneurysm surgery. Methods Seventy-six patients who underwent aneurysm surgery in our hospital from December 2015 to December 2016 were divided into experimental group and control group according to the random number table method， With 38 cases in each group. Treatment according to symptoms was performed in both groups， The control group conducted routine guidance of nursing rounds， the experimental group implemented empathetic psychological nursing rounds by doctors and nurses jointly. The nursing effect， quality of life（QOL-BREF）and medical response questionnaire（MCMQ）between the two groups were compared objectively. Mental symptom scores（SCL-90）were also used to evaluate the changes of psychological status before and after treatment. Results The hospitalization time and symptom disappearance time， complications and treatment compliance in the experimental group were significantly better than those in the control group（P<0.05）. The difference of the face-to-face scores in the MCMQ scale between the control group and the experimental group was not significant（P>0.05）， but the avoidance points and yield points in experimental group were significantly better than the control group（P<0.05）； SCL-90 scores after intervention were significantly better than before， and the scores of experimental group were better than the control group.Besides， the scores of QOL-BREF in the experimental group were significantly higher than those in the control group（P<0.05）. Conclusion Implementing empathetic psychological nursing rounds by doctors and nurses jointly can help to improve the unhealthy psychological state during the perioperative period of aneurysm surgery. To a certain extent， the empathetic psychological nursing rounds can make patients take a more positive behavior to coordinate the therapy to reduce the incidence of adverse reactions and assist the patients to promote the quality of prognostic life .

相關(guān)熱詞搜索：動脈瘤 查房 醫(yī)護(hù) 護(hù)理 患者