首页|积极心理学理论联合叙事干预在脑梗死恢复期患者护理中的应用

积极心理学理论联合叙事干预在脑梗死恢复期患者护理中的应用

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目的 探讨积极心理学理论联合叙事干预在脑梗死恢复期患者护理中的应用效果.方法 前瞻性纳入2022年5月至2023年5月周口市中心医院收治的82例脑梗死恢复期患者,根据随机信封法分为干预组和对照组,各41例.对照组接受叙事医学康复护理干预,干预组接受积极心理学理论联合叙事医学干预,均干预3个月,采用情绪状态量表(POMS)、康复锻炼依从性量表(EAQ)、脑卒中专门化生存量表(SS-QOL)评估两组干预前后的心境情绪状态、依从性及生活质量.结果 干预3个月,两组负性心境评分降低,正性心境评分升高,且干预组负性心境评分低于对照组,正性心境评分高于对照组(P<0.05);干预3个月,两组EAQ各维度指数均升高,且干预组高于对照组(P<0.05);干预3个月,两组SS-QOL评分升高,且干预组高于对照组(P<0.05).结论 积极心理学理论联合叙事干预在脑梗死恢复期患者护理中的应用效果较好,更利于改善患者心境情绪状态,提高患者康复锻炼依从及生活质量.
Application of Positive Psychology Theory Combined with Narrative Intervention in Nursing Care of Patients with Cerebral Infarction During Recovery Period
Objective To explore the application effect of positive psychology theory combined with narrative intervention in the nursing of patients with cerebral infarction in the recovery period.Methods A prospective study was conducted on 82 patients with cerebral infarction in the recovery period admitted to Zhoukou Central Hospital from May 2022 to May 2023.They were randomly divided into an intervention group and a control group based on the envelope method,with 41 patients in each group.The control group received narrative medicine rehabilitation nursing intervention,while the intervention group received a combination of positive psychology theory and narrative medicine intervention,with each intervention lasting for 3 months.The mood and emotional state,compliance and quality of life of the two groups before and after intervention were evaluated using profile of mood states(POMS),exercise adherence questionnaire(EAQ),and stroke-specialized quality of life scale(SS-QOL)scores.Results After 3 months of intervention,the negative mood score decreased and the positive mood score increased in both groups.The negative mood score in the intervention group was lower than that in the control group,while the positive mood score was higher than that in the control group(P<0.05).After 3 months of intervention,the EAQ index of each dimension in both groups increased,and the intervention group was higher than the control group(P<0.05).After 3 months of intervention,the SS-QOL scores of both groups increased,and the intervention group was higher than the control group(P<0.05).Conclusion The application of positive psychology theory combined with narrative intervention in the nursing of patients with cerebral infarction in the recovery period has a good effect,which is more conducive to improving the patient's mood and emotional state,improving the patient's rehabilitation exercise compliance and quality of life.

cerebral infarctionrecovery periodpositive psychology theorynarrative interventionmood and emotionquality of life

孙倩、赵冰、范贝贝

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周口市中心医院神经内科,河南周口 466000

脑梗死 恢复期 积极心理学理论 叙事干预 心境情绪 生活质量

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(14)
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