心理分级护理干预对脑血管介入治疗患者的影响

目的:探讨心理分级护理干预对脑血管介入治疗患者的影响。方法:选取2017年3月1日~2019年1月31日收治的92例脑血管患者为研究对象,根据随机数字表法分为观察组和对照组各46例,对照组采用常规围术期护理,观察组采用心理分级护理干预;比较两组干预前后睡眠质量(采用SPIEGEL睡眠质量量表)、焦虑、抑郁程度采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、疼痛程度采用视觉模拟评分法(VAS)]。结果:干预后,两组睡眠深度、醒后感觉评分及睡眠质量总分均低于干预前(P<0.05),且观察组上床入睡时间、夜醒次数、一夜总睡眠时间、夜间做梦情况、睡眠深度、醒后感觉评分及睡眠质量总分均低于对照组(P<0.01);干预后,两组HAMA、HAMD评分均低于干预前(P<0.05),且观察组均低于对照组(P<0.01);干预后,两组VAS评分均低于干预前(P<0.05),且观察组低于对照组(P<0.01)。结论:心理分级护理能显著改善脑血管介入治疗患者睡眠质量,缓解其焦虑、抑郁等不良情绪,还能减轻介入治疗疼痛感。

Influence of Graded Psychological Nursing Intervention on Patients with Cerebrovascular Interventional Therapy

Objective:To explore the influence of graded psychological nursing intervention on patients with cerebrovascular interventional therapy.Methods:A total of 92 cases of cerebrovascular patients admitted from March 1,2017 to January 31,2019 were selected as the research objects.According to the random number table method,they were divided into observation group and control group with 46 cases each.The control group received routine perioperative nursing,and the observation group received graded psychological nursing intervention.Before and after the intervention,the two groups were compared in terms of sleep quality(using the SPIEGEL sleep quality scale),anxietyusing the Hamilton anxiety scale(HAMA)],depressionHamilton depression scale(HAMD)],and painusing visual analogue scale(VAS)].Results:After intervention,sleep depth,post-awake feeling score and total score of sleep quality in the two groups were lower than before the intervention(P<0.05),and the observation group was lower than the control group(P<0.01).In addition,the observation group was lower than the control group in terms of bedtime,number of awakenings,total sleep time,nighttime dreaming,sleep depth,post-awake feeling score and total sleep quality(P<0.01).After intervention,HAMA and HAMD scores in both groups were lower than those before the intervention(P<0.05),and those in the observation group were lower than those in the control group(P<0.01).After intervention,VAS scores of both groups were lower than that before intervention(P<0.05),and that of the observation group was lower than that of the control group(P<0.01).Conclusion:Graded psychological nursing can significantly improve the sleep quality of patients with cerebrovascular interventional therapy,relieve their anxiety,depression and other adverse emotions,and ease the pain of interventional therapy.