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目的研究分析认知行为干预小组运用于颅内肿瘤术后患者中对睡眠质量及并发症的改善效果。方法选取2015年6月至2016年6月在我院实施颅内肿瘤手术患者146例,随机分为对照组和观察组,各73例。对照组接受常规护理,观察组接受认知行为干预护理。观察两组并发症发生率、护理满意度以及干预前后睡眠质量。护理满意度采用我院自制满意度评分表;睡眠质量采用匹兹堡睡眠质量指数(PSQI)进行评估。结果观察组并发症总发生率为27.40%,低于对照组的79.45%,差异有统计学意义(P<0.01);观察组干预后PSQI各维度评分评分优于对照组,差异有统计学意义(P均<0.01);观察组护理满意度为98.63%,高于对照组的72.60%,差异有统计学意义(P<0.01)。结论对颅内肿瘤术后患者行认知行为干预护理,可有效改善患者心理状况,提高睡眠质量及护理满意度。
Objective To study the effect of cognitive behavioral intervention on sleep quality and complications in postoperative patients with intracranial tumors. Methods 146 patients with intracranial tumor surgery in our hospital from June 2015 to June 2016 were randomly divided into control group and observation group, with 73 cases in each group. Control group received routine care, observation group received cognitive behavioral intervention nursing. The incidence of complications, nursing satisfaction and sleep quality before and after intervention were observed. Satisfaction of nursing satisfaction using our hospital self-satisfaction score; sleep quality Pittsburgh Sleep Quality Index (PSQI) to assess. Results The total complication rate in observation group was 27.40%, which was lower than that in control group (79.45%), the difference was statistically significant (P <0.01). PSQI score in observation group was better than that in control group after intervention, the difference was statistically significant (P <0.01). The nursing satisfaction of the observation group was 98.63%, which was higher than that of the control group (72.60%), the difference was statistically significant (P <0.01). Conclusion Cognitive and behavioral intervention nursing for postoperative patients with intracranial tumors can effectively improve the psychological status of patients and improve the quality of sleep and nursing satisfaction.