苏义文

摘要：目的  研究心理干預联合睡眠护理对颅内血肿清除术患者神经功能恢复及生活质量的影响。方法  选取2018年1月～2019年1月在我院行颅内血肿清除术的114例患者为研究对象，采用随机数字表法分为对照组和观察组，各57例。对照组采用常规护理，观察组在常规护理基础上实施心理干预联合睡眠护理，比较两组神经功能缺损评分、生活质量SF-36量表评分、日常生活能力Barther评分以及护理满意度。结果  干预后，观察组神经功能缺损评分低于对照组，差异有统计学意义（P<0.05）;干预后观察组心理健康、社会功能、物质生活、活力、情感职能、生理功能评分高于对照组，差异有统计学意义（P<0.05）;干预后，观察组Barther评分、护理满意度高于对照组，差异有统计学意义（P<0.05）。结论  心理干预联合睡眠护理可促进颅内血肿清除术患者神经功能恢复，降低神经功能缺损评分，改善患者生活质量，增强患者日常生活能力，进一步提高护理满意度，对患者的康复具有重要的临床价值。

关键词：心理干预;睡眠护理;颅内血肿清除术;神经功能;生活质量

中图分类号：R473.6                                  文献标识码：A                                DOI：10.3969/j.issn.1006-1959.2020.14.064

文章编号：1006-1959（2020）14-0190-03

Effect of Psychological Intervention Combined with Sleep Nursing on Neurological Function Recovery and Quality of Life in Patients with Intracranial Hematoma Removal

SU Yi-wen

（Department of Neurosurgery，Jiamusi Central Hospital，Jiamusi 154002，Heilongjiang，China）

Abstract：Objective  To study the effect of psychological intervention combined with sleep nursing on neurological function recovery and quality of life in patients with intracranial hematoma removal. Methods  A total of 114 patients undergoing intracranial hematoma removal in our hospital from January 2018 to January 2019 were selected as the research object. They were divided into a control group and an observation group with a random number table method， 57 cases each. The control group adopted routine nursing， and the observation group implemented psychological intervention combined with sleep nursing on the basis of routine nursing. The two groups were compared with neurological deficit score， quality of life SF-36 scale score， daily living ability Barther score and nursing satisfaction.Results  After intervention， the neurological deficit score of the observation group was lower than that of the control group， the difference was statistically significant （P<0.05）; after intervention， the mental health， social function， material life， vitality， emotional function and physiological function score of the observation group were higher than that of the control group，the difference was statistically significant （P<0.05）; after intervention， the Barther score and nursing satisfaction of the observation group were higher than the control group，the difference was statistically significant（P<0.05）.Conclusion  Psychological intervention combined with sleep care can promote the recovery of neurological function in patients with intracranial hematoma removal， reduce the score of neurological deficit， improve the quality of life of patients， enhance the daily life ability of patients， and further improve the satisfaction of nursing， which has important clinical value for the rehabilitation of patients.

Key words：Psychological intervention;Sleep nursing;Intracranial hematoma removal;Nerve function; Quality of life

颅内血肿清除术（removal of intracranial hematoma）是临床治疗颅内血肿的有效手段，对患侧创伤较轻，术后康复效果较理想[1]，但是由于术后通畅遗留机体活动障碍等后遗症，恢复缓慢，患者容易产生不良心理，影响患者康复和生活质量。术后辅以临床护理干预有助于预防术后并发症发生，减轻患者负性情绪，促进患者的良好恢复，一定程度改善手术效果[2]。心理护理是具有人性化代表的一种护理模式，以针对性改善患者不良心理状况为主要目的。睡眠护理可改善患者睡眠质量，增加睡眠时间，促进患者重新建立良好的生活方式。心理干预联合睡眠护理是将两个护理单元结合，对常规护理进行优化，以改善患者情绪、满足生理需求[3]。本研究结合2018年1月～2019年1月在我院行颅内血肿清除术的114例患者临床资料，探究心理干预联合睡眠护理对颅内血肿清除术患者神经功能恢复及生活质量的影响，现报道如下。……