颅脑外伤患者围手术期认知心理干预对应激反应的影响分析
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- 论文作者：邵蓉 ; 黄筱洁 ; 赵春芳 ; 江萍
- 年：2016
- 作者机构：上海市浦东新区人民医院;
- 论文关键词：颅脑外伤 ; 围手术期 ; 心理干预 ; 创伤后应激障碍
- 英文论文关键词：craniocerebral injury ; perioperative period ; mental cognition intervention ; post traumatic stress disorder
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R473.6
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：1900k
- 原文格式：D
- 会议级别：全国
摘要
目的:探究颅脑外伤患者围手术期认知心理干预对应激反应的影响。方法:选取我院2014年10月至2015年10月手术治疗的颅脑外伤患者100例,根据随机数表法将其分为干预组和对照组各50例,对照组于围术期实施常规神经外科护理,干预组在其基础上给予认知心理干预,比较两组患者术中血糖、皮质醇及肾上腺素水平、住院时间及护理满意度,并于术后5天、10天、出院时及受伤后3个月通过创伤后应激障碍症状自评量表(post traumatic stress disorder self-rating depression scale,PTSD-SS)、焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)对患者心理状况进行评估。结果:术中各时间点干预组血浆血糖、皮质醇及肾上腺素水平均低于对照组,差异有统计学意义(P<0.05)。干预组住院时间小于对照组,差异有统计学意义(P<0.05)。干预组对护理工作的满意率为94.0%(47/50),对照组为80.0%(40/50),差异有统计学意义(P<0.05)。术后5天、10天、出院时及受伤后3个月时干预组PTSD-SS、SAS及SDS得分均低于对照组,差异有统计学意义(P<0.05)。结论:对于需手术治疗的颅脑外伤患者,在常规护理基础实施围手术期认知心理干预有助于减轻创伤后应激反应,缩短住院天数,提高患者满意度。
OBJECTIVE: To explore the influence of mental cognition intervention on stress response of craniocerebral injury patients during perioperative period. METHODS: 100 cases of craniocerebral injury patients treated with surgery in our hospital from Oct.2014 to Oct.2015 were selected. They were divided into intervention group(n=50) and control group(n=50). The control group was given routine nursing. The intervention group was given mental cognition intervention during perioperative period on the basis of control group. The stress hormone levels, hospitalization, nursing satisfaction, PTSD-SS, SAS and SDS scores were compared between two groups. RESULTS: The levels of blood sugar, cortisol and adrenaline in plasma of interventiongroup were lower than those of control group(P < 0.05). The hospitalization, PTSD-SS, SAS and SDS scores of intervention group were lower than those of control group(P < 0.05). The nursingsatisfaction rate of intervention group[94.0%(47/50)] was higher than that of control group[80.0%(40/50)](P < 0.05). CONCLUSIONS: Metal cognition intervention is beneficial for decreasingstress reaction of craniocerebral injury patients during perioperative period on the basis of routine nursing.
OBJECTIVE: To explore the influence of mental cognition intervention on stress response of craniocerebral injury patients during perioperative period. METHODS: 100 cases of craniocerebral injury patients treated with surgery in our hospital from Oct.2014 to Oct.2015 were selected. They were divided into intervention group(n=50) and control group(n=50). The control group was given routine nursing. The intervention group was given mental cognition intervention during perioperative period on the basis of control group. The stress hormone levels, hospitalization, nursing satisfaction, PTSD-SS, SAS and SDS scores were compared between two groups. RESULTS: The levels of blood sugar, cortisol and adrenaline in plasma of interventiongroup were lower than those of control group(P < 0.05). The hospitalization, PTSD-SS, SAS and SDS scores of intervention group were lower than those of control group(P < 0.05). The nursingsatisfaction rate of intervention group[94.0%(47/50)] was higher than that of control group[80.0%(40/50)](P < 0.05). CONCLUSIONS: Metal cognition intervention is beneficial for decreasingstress reaction of craniocerebral injury patients during perioperative period on the basis of routine nursing.
引文
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[6]彭涛,邹兴军,张袁汇翼,等.轻型颅脑损伤患者的心理健康状态分析[J].海南医学,2015,26(22):3363-3364.
[7]彭涛,邹兴军,张袁汇翼,等.轻型颅脑损伤患者抑郁和焦虑相关影响因素的调查研究[J].成都医学院学报,2015,10(5):628-630.
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[10]Van Beek JG,Mushkudiani NA,Steyerberg EW,et al.Prognostic value of admission laboratory parameters in traumatic brain injury:results from the IMPACT study[J].J Neurotrauma,2007,24(2):315-328.
[2]杨艳,张禹,肖宏.颅脑损伤患者高压氧联合心理护理干预效果分析[J].中国医药导报,2015,12(29):122-125.
[3]蒋爱琼,李冬梅.重型颅脑损伤救治中预见性护理与常规护理应用体会[J].世界最新医学信息文摘,2015,15(36):215.
[4]Sharma D,Jelacic J,Chennuri R,et al.Incidence and risk factors for perioperative hyperglycemia in children with traumatic brain injury[J].Anesth Analg,2009,108(1):81-89.
[5]包义君,陶山伟,李力卓,等.急性创伤性颅脑损伤患者围手术期血糖变化与颅脑损伤严重程度的相关性[J].中国医科大学学报,2016,45(4):313-317.
[6]彭涛,邹兴军,张袁汇翼,等.轻型颅脑损伤患者的心理健康状态分析[J].海南医学,2015,26(22):3363-3364.
[7]彭涛,邹兴军,张袁汇翼,等.轻型颅脑损伤患者抑郁和焦虑相关影响因素的调查研究[J].成都医学院学报,2015,10(5):628-630.
[8]朱蔚骏,成静,徐健.心理干预对颅脑损伤后综合征的疗效研究[J].南通大学学报(医学版),2013,33(4):319-320.
[9]李银霞,温梦玲,李筱卉.心理干预护理对重型颅脑损伤患者康复疗效的影响[J].广东医学院学报,2013,31(1):92-94.
[10]Van Beek JG,Mushkudiani NA,Steyerberg EW,et al.Prognostic value of admission laboratory parameters in traumatic brain injury:results from the IMPACT study[J].J Neurotrauma,2007,24(2):315-328.