摘要
目的分析以配偶为中心的支持应对对肝切除患者心理弹性及创伤后成长的影响。方法选取2018年1月至2019年12月商丘市第一人民医院收治的121例肝切除患者作为研究对象,按照随机数表法分为对照组(58例)与观察组(63例)。对照组接受常规护理,观察组在此基础上接受以配偶为中心的支持应对方式干预,分别于干预前、干预10 d后,比较两组心理弹性量表(CD-RISC)、创伤后成长评定量表(PTGI)及护理满意度。结果干预前,两组CD-RISC、PTGI各维度评分比较,差异无统计学意义(P>0.05);干预后,观察组CD-RISC量表中坚韧、自强、乐观及总分高于对照组,PTGI量表中人际关系、个人力量、欣赏生活、新的可能性、精神变化及总分均高于对照组,差异有统计学意义(P<0.05)。干预后,观察组护理满意度评分[(87.56±8.56)分]高于对照组[(70.12±6.85)分],差异有统计学意义(P<0.05)。结论针对肝切除患者开展以配偶为中心的支持应对方式护理干预模式,能够显著促进患者创伤后成长,增强个体心理弹性,提高患者护理满意度,值得临床借鉴参考。
Objective To analyze the effect of spouse-centered support response on resilience and post-traumatic growth in patients with hepatectomy.Methods A total of 121 patients with hepatectomy who treated in Shangqiu First People’s Hospital from January 2018 to December 2019 were divided into control group(58 cases)and observation group(63 cases)according to the random number table.Control group received routine nursing,and observation group was given spouse-centered support response intervention based on control group.Before intervention and after intervention for 10 d,the Connor-Davidson resilience scale(CD-RISC),Post-traumatic growth inventory(PTGI)and nursing satisfaction in two groups were compared and analyzed.Results Before intervention,there was no difference in the scores of CD-RISC and PTGI between two groups(P>0.05).After intervention,compared with control group,the toughness,self-improvement,optimism and total score in CD-RISC scale in observation group were higher,the interpersonal relationship,individual power,appreciation of life,new possibilities,mental changes and total score in PTGI scale in observation group were higher(P<0.05).After intervention,the score of nursing satisfaction in observation group(87.56±8.56)was higher than that in control group(70.12±6.85)(P<0.05).Conclusion Spouse-centered support response nursing intervention in patients with hepatectomy can promote post-traumatic growth,enhance individual resilience,and improve nursing satisfaction,which is worthy of clinical reference.
作者
张玉莲
ZHANG Yulian(The First Department of General Surgery,Shangqiu First People’s Hospital,Shangqiu 476100,China)
出处
《河南医学研究》
CAS
2021年第29期5547-5550,共4页
Henan Medical Research
关键词
肝切除
配偶为中心
支持应对
心理弹性
创伤后成长
hepatectomy
spouse-centered
support response
resilience
post-traumatic growth
