首页|希望理论护理联合理性情绪调节策略对脑梗死后继发癫痫患者的影响

希望理论护理联合理性情绪调节策略对脑梗死后继发癫痫患者的影响

扫码查看
目的 探讨希望理论护理联合理性情绪调节策略对脑梗死后继发癫痫患者希望水平、心理弹性、应对方式的影响.方法 选取医院 2022 年 6-12 月收治的脑梗死后继发癫痫患者 65 例,根据基本资料具有可比性的原则将患者分为观察组 33 例和对照组 32 例,观察组患者给予希望理论护理联合理性情绪调节策略,对照组患者则行理性情绪调节策略.分析并比较两组患者护理前后希望水平、心理弹性、应对方式和神经功能恢复情况.结果 护理前两组患者和他人保持亲密关系、对现实和未来的态度以及采取积极行动各维度评分比较,差异无统计学意义(P>0.05);护理后观察组和他人保持亲密关系、对现实和未来的态度以及采取积极行动各维度评分高于对照组,差异有统计学意义(P<0.05).护理前,两组患者乐观、自强等各个维度评分差异均无统计学意义(P>0.05);护理后,观察组患者RS-11 量表各维度评分均高于对照组,差异有统计学意义(P<0.05).护理前两组患者面对、回避、屈服三种应对方式评分比较差异无统计学意义(P>0.05);护理后,观察组面对应对评分高于对照组,回避和屈服应对评分低于对照组,差异有统计学意义(P<0.05).护理前两组美国国立卫生研究院卒中量表(NIHSS)评分比较差异均无统计学意义(P>0.05),护理后观察组NIHSS评分低于对照组,差异有统计学意义(P<0.05).结论 希望理论护理联合理性情绪调节策略不仅可以提高脑梗死后继发癫痫患者的希望水平,改善患者的心理弹性和应对方式,还可以有效促进患者神经功能的恢复.
Effect of hope theory nursing combined with rational emotion regulation strategies on the patients with secondary epilepsy after cerebral infarction
Objective To explore the impact of hope theory nursing combined with rational emotion regulation strategies on the hope level,psychological flexibility and coping style of patients with secondary epilepsy after cerebral infarction.Methods A total of 65 patients with secondary epilepsy after cerebral infarction who were admitted to the hospital from June to December 2022 were selected.Based on the principle of comparability of basic data,the patients were divided into an observation group of 33 cases and a control group of 32 cases.Patients in the observation group were given hope theory nursing combined with rational emotion regulation strategies,while patients in the control group were given rational emotion regulation strategies to analyze and compare the hope level,psychological flexibility,coping style and neurological function recovery of the two groups of patients before and after nursing.Results Before nursing,there was no statistically significant difference in the scores of maintaining close relationships with others,attitudes toward reality and the future,and taking positive actions between the two groups of patients(P>0.05).After nursing,patients in the observation group had higher scores in maintaining close relationships with others,attitudes toward reality and the future,and taking positive actions than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there was no statistical significance in the scores of optimism,self-improvement and other dimensions between the two groups of patients(P>0.05).After nursing,the each dimension scores of RS-11 scale in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the scores of the three coping styles of patients before nursing:confrontation,avoidance,and surrender between the two groups of patients(P>0.05).After nursing,the observation group's face coping score was higher than that of the control group,and their avoidance and surrender coping scores were lower than those of the control group,the differences were statistically significant(P<0.05).Before nursing,there was no statistical significance in the National Institutes of Health stroke scale(NIHSS)scores between the two groups of patients(P>0.05).After nursing,the NIHSS score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Hope theory nursing combined with rational emotion regulation strategies can not only improve the hope level of patients with secondary epilepsy after cerebral infarction,improve the patients'psychological flexibility and coping style,but also effectively promote the recovery of patients'neurological functions.

Hope theoryRational emotionRegulation strategiesCerebral infarctionSecondary epilepsyHope levelCoping stylesPsychological resilience

许慧婧、张璐、郑婷婷、谢娜、杨晓杰

展开 >

郑州大学第一附属医院神经内科(河南郑州,450000)

希望理论 合理性情绪 调节策略 脑梗死 继发癫痫 希望水平 应对方式 心理弹性

河南省卫生健康委医学科技攻关计划省部共建项目

SBGJ202101016

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(4)
  • 30