【摘 要】
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Objective To explore the influences of structured psychological nursing on unhealthy psychological state and self-perceived burden of patients with transjugular intrahepatic portasystemic stent shunt
【机 构】
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AffiliatedNanhuaHospital,UniversityofSouthChina
【出 处】
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中华放射学学术大会2016、中华医学会第23次全国放射学学术大会暨中华医学会第24次全国影像技术学术大会
论文部分内容阅读
Objective To explore the influences of structured psychological nursing on unhealthy psychological state and self-perceived burden of patients with transjugular intrahepatic portasystemic stent shunt (TIPS). Methods 58 patients who were in accordance with the inclusion criteria from Jan 2015 to Dec 2015 were selected as the research object, and were randomly divided into the control group (n = 29) and the experimental group (n = 29). The control group was given routine nursing care, while the experimental group was given structured psychological intervention on the basis of conventional nursing care. Intervention scheme mainly focuses on 5 aspects: psychological support therapy, relaxation training, cognitive therapy, stress management and coping skills and health education by professional intervention nurses. Zung selfrating anxiety scale, Hamiltonanxiety rating scale, and self-perceived burden scale and ward nursing satisfaction questionnaire translated by Wu Yanyan et al. were adopted to evaluate the negative psychology state, self-perceived burden and service satisfaction before and after the intervention, respectively. Results Pre-operative 1d and postoperative 12h anxiety scores were lower in the experimental group (including SAS and HAMA scores, t values were -15.066, and -25.853, all P <0.05) than that of the control group. After intervention, emotional burden scores (t=-0.085, P<0.05) and physical burden scores (t=-4.235, P<0.05) were all lower in the experimental group than those of the control group. Nursing service satisfaction was significantly higher in the experimental group than that of the control group (χ2=7.658, P<0.05), and the differences were of statistical significance. Conclusion Implementation of structured psychological intervention for patients with TIPS operation can significantly improve the unhealthy state of patients, effectively reduce their self-perceived burden, and improve patients satisfaction to nursing service. It has higher application value in clinical, and is worth of popularizing.
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