李艳丽

【摘要】 目的：探究多元化健康教育對颅内动脉瘤介入手术患者术前心理状态及希望水平的影响。方法：选取2018年11月-2019年10月佳木斯市中心医院进行常规健康教育的40例颅内动脉瘤介入手术患者为对照组，选取2019年11月-2020年10月佳木斯市中心医院进行多元化健康教育的40例颅内动脉瘤介入手术患者为观察组。统计与比较两组健康教育前、健康教育后、术前的心理状态[焦虑自评量表（SAS）、抑郁自评量表（SDS）、恐惧视觉模拟评分法（FAVS）]及希望水平（Herth希望量表）评估结果。结果：健康教育前，两组SAS、SDS、FAVS及Herth希望量表评估结果比较，差异均无统计学意义（P>0.05）;健康教育后及术前，观察组SAS、SDS、FAVS及Herth希望量表评估结果均显著优于对照组，差异均有统计学意义（P<0.05）。结论：多元化健康教育可显著改善颅内动脉瘤介入手术患者的术前心理状态及希望水平，在颅内动脉瘤介入手术患者中具有较高的应用价值。

【关键词】 多元化健康教育 颅内动脉瘤 介入手术 心理状态 希望水平

Study on the Influence of Diversified Health Education for Preoperative Psychological State and Hope Level of Patients with Interventional Treatment of Intracranial Aneurysms/LI Yanli. //Medical Innovation of China， 2021， 18（35）： -117

[Abstract] Objective： To investigate the influence of diversified health education for preoperative psychological state and hope level of patients with interventional treatment of intracranial aneurysms. Method： A total of 40 patients with interventional treatment of intracranial aneurysms who were educated with routine health education in Jiamusi Central Hospital from November 2018 to October 2019 were chosen as the control group， 40 cases with interventional treatment of intracranial aneurysms who were educated with diversified health education in Jiamusi Central Hospital from November 2019 to October 2020 were chosen as the observation group. Then the evaluation results of psychological state [self-rating anxiety scale （SAS）， self-rating depression scale （SDS） and fears visual analogue scale （FAVS）] and hope level （Herth hope scale） of two groups before the health education， after the health education and before the operation were analyzed and compared. Result： The evaluation results of SAS， SDS， FAVS and Herth hope scale of two groups before the health education were compared， there were no statistically significant differences （P>0.05）; the evaluation results of SAS， SDS， FAVS and Herth hope scale of observation group after the health education and before the operation were all significantly better than those of control group， there were statistically significant differences （P<0.05）. Conclusion： The diversified health education can significantly improve the preoperative psychological state and hope level of patients with interventional treatment of intracranial aneurysms， and its application value in the patients with interventional treatment of intracranial aneurysms is higher.

[Key words] Diversified health education Intracranial aneurysms Interventional treatment Psychological state Hope level

First-author’s address： Jiamusi Central Hospital， Jiamusi 154002， China

doi：10.3969/j.issn.1674-4985.2021.35.028

颅内动脉瘤的临床治疗与护理均为研究重点，而介入手术作为本病治疗的有效方式，其围术期的各个方面的临床研究均多见[1-2]。随着临床对各类手术患者生存质量改善需求的提升，其围术期心理状态的改善需求也不断提升，术前焦虑、抑郁及恐惧等心理的疏导效果也成为临床干预效果的重要评估方面[3-4]。希望水平作为患者围术期效能感的重要反映指标，其提升的需求也较高。本研究就多元化健康教育对颅内动脉瘤介入手术患者术前心理状态及希望水平的影响进行探究，现报道如下。……