摘要
目的探究基于应激系统理论的护理模式结合集束化护理策略在急性脑梗死患者溶栓治疗后的应用效果。方法选择2022年1月至12月收治的106例急性脑梗死溶栓患者为研究对象,根据入院先后顺序将其分为对照组和观察组,每组53例。对照组接受常规护理,观察组在对照组基础上给予基于应激系统理论的护理模式结合集束化护理策略。比较两组的心理弹性、创伤后成长、应对方式及神经因子水平。结果干预后,观察组的康纳-戴维森韧性量表(CD-RISC)、创伤后成长量表(PTGI)评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的面对评分高于对照组,回避、屈服评分低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的神经生长因子(NGF)、脑源性神经营养因子(BDNF)水平高于对照组,差异具有统计学意义(P<0.05)。结论基于应激系统理论的护理模式结合集束化护理策略可改善急性脑梗死患者溶栓治疗后的心理弹性,提高创伤后成长水平,转变应对方式,调节神经因子水平,值得推广。
Objective To explore the application effect of nursing mode based on stress system theory combined with cluster nursing strategy in patients with acute cerebral infarction after thrombolytic therapy.Methods A total of 106 patients with acute cerebral infarction treated with thrombolysis from January to December 2022 were selected as the research objects.According to the order of admission,the patients were divided into control group and observation group,with 53 cases in each group.The control group received routine nursing,and the observation group was given nursing mode based on stress system theory combined with cluster nursing strategy on the basis of the control group.The psychological resilience,post-traumatic growth,coping style and neurological factors levels were compared between the two groups.Results After intervention,the scores of Connor-Davidson Resilience Scale(CD-RISC)and Posttraumatic Growth Inventory(PTGI)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the face score of the observation group was higher than that of the control group,and the avoidance and yield scores were lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,the levels of nerve growth factor(NGF)and brain-derived neurotrophic factor(BDNF)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The nursing mode based on stress system theory combined with cluster nursing strategy can improve the psychological resilience of patients with acute cerebral infarction after thrombolytic therapy,promote post-traumatic growth level,change coping style and regulate the levels of nerve factors,which is worthy of promotion.
作者
任青
王婷
杜峰
REN Qing;WANG Ting;DU Feng(Neurology Department,Pucheng County Hospital,Weinan 715500;Neurosurgery Department,Xianyang Central Hospital,Xianyang 712000,China)
出处
《临床医学研究与实践》
2024年第29期183-186,共4页
Clinical Research and Practice
关键词
应激系统理论
集束化护理策略
急性脑梗死
溶栓治疗
心理弹性
应对方式
stress system theory
cluster nursing strategy
acute cerebral infarction
thrombolytic therapy
psychological resilience
coping style
