医护联合实施共情式心理护理查房在动脉瘤手术患者中的应用
[摘要] 目的 医护联合实施共情式心理护理查房在动脉瘤手术患者中的应用。方法 选取2015年12月～2016年12月在我院拟行动脉瘤手术的患者76例，按照随机数字表法分为实验组和对照组，各38例。两组均行对症治疗，其中对照组实施常规查房指导，实验组则实施医护联合实施共情式心理干预查房。分别对两组患者的护理效果、生活质量简表（QOL-BREF）和医学应对问卷量表（MCMQ）进行客观比较。同时采用心理症状自评量表（SCL-90）对患者干预前后的心理状态分值变化进行评估。 结果 实验组患者的住院时间和症状消失时间、并发症发生情况及治疗依从性等护理效果明显优于对照组患者（P<0.05）；实验组MCMQ量表中的面对分与对照组比较差异不显著（P>0.05），但前者的回避分和屈服分明显优于对照组（P<0.05）；与干预前相比，干预后患者的SCL-90量表评分明显更优，且实验组患者的评分优于对照组（P<0.05）；另外，实验组患者的QOL-BREF评分明显亦高于对照组（P<0.05）。 結论 医护联合实施共情式心理干预可以有助于改善动脉瘤手术围术期间的不良心理状态，在一定程度上使患者采用更为积极的行为配合治疗，进而减少不良反应的发生，并辅助促进患者预后的生活质量。
[关键词] 医护联合；共情式；心理干预；动脉瘤手术；生活质量
[中图分类号] R473.6 [文献标识码] B [文章编号] 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 .