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叙事护理在颈动脉内膜切除术患者中的应用效果

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目的 探讨叙事护理在颈动脉内膜切除术(CEA)患者中的应用效果.方法 选取2022年2月至2023年4月南阳市第一人民医院收治的96例接受CEA治疗的患者,以随机数字表法分为对照组(48例)与干预组(48例).对照组接受常规护理,干预组接受叙事护理.比较两组心理状态、应对方式、并发症及护理满意度.结果 干预后两组贝克焦虑量表、贝克抑郁量表评分降低,干预组较对照组更低(P<0.05);干预后两组面对评分提高,屈服、回避评分降低,干预组面对评分较对照组更高,屈服、回避评分更低(P<0.05);干预组(6.25%)并发症发生率较对照组(20.83%)低(P<0.05);干预组(97.92%)护理满意度较对照组(83.33%)高(P<0.05).结论 叙事护理应用于CEA患者干预中,可改善心理状态与应对方式,降低并发症发生率,提高护理满意度.
Application Effect of Narrative Nursing in Patients Undergoing Carotid Endarterectomy
Objective To explore the application effect of narrative nursing in patients undergoing carotid endarterectomy(CEA).Methods A total of 96 patients treated with CEA from February 2022 to April 2023 who were admitted in Nanyang First People's Hospital were selected,and randomly divided into the control group(48 cases)and the intervention group(48 cases).The control group was received routine nursing,and the intervention group was received narrative nursing.The psychological state,coping style,complications and nursing satisfaction in both groups were compared.Results After the intervention,the scores of the Beck anxiety inventory and Beck depression inventory-Ⅱ in both groups were decreased,and in comparision of the control group,the intervention group was lower(P<0.05).After intervention,the yield and avoidance scores in both groups were decreased,the face scores were increased,and in comparision of the control group,the yield and avoidance scores of the intervention group were lower,the face score was higher(P<0.05).In comparision of the control group(20.83%),the incidence of complications in the intervention group(6.25%)was lower(P<0.05).In comparision of the control group(83.33%),the nursing satisfaction of the intervention group(97.92%)was higher(P<0.05).Conclusion Narrative nursing in the intervention of CEA patients can improve psychological state and coping style,reduce the incidence of complications and improve nursing satisfaction.

narrative nursingcarotid endarterectomymental statecoping style

杨丽、和振娜、宋暖

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南阳市第一人民医院神经外科,河南南阳 473000

叙事护理 颈动脉内膜切除术 心理状态 应对方式

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(3)
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