应激系统理论护理对脑血管重建烟雾病患者心境及创伤后成长状况的影响

The Effect of Nursing Based on Stress System Theory on Mood and Post-Traumatic Growth in Patients with Moyamoya Disease Undergoing Cerebral Revascularization

摘要: 目的：研讨应激系统理论护理对脑血管重建烟雾病患者心境及创伤后成长状况的影响。方法：选取2022年1月~2023年12月入住山东大学齐鲁医院行脑血管重建术的烟雾病患者358例，依据随机数表法完成组别(179例/组)设计，对照组接受常规干预，观察组基于对照组干预条件开展应激系统理论护理，对比两组不同干预阶段的心境[心理韧性量表(Resilience Scale, CD-RISC)]、创伤后成长状况[创伤后成长评定量表(Posttraumatic growth rating scale, PTGI)]、术后并发症以及护理评价。结果：干预后，观察组CD-RISC量表中各评分项(自强项、乐观项及坚韧项)得分均高于对照组(P < 0.05)。干预后，观察组PTGI量表中5个评分项(人生感悟项、个人力量项、新的可能性项、与他人关系项及自我转变项)得分均高于对照组(P < 0.05)。观察组出现并发症的患者总占比(3.35%)少于对照组(8.38%) (χ² = 4.097, P = 0.042)。观察组护理评价(即总满意度)高于对照组(P < 0.05)。结论：应激系统理论护理模式的实施，能够有效改善烟雾病患者脑血管重建期间的心境，促进其创伤后成长，减少术后并发症发生，并获得患者更高的护理评价。

Abstract: Objective: To investigate the effect of nursing based on stress system theory on mood and post-traumatic growth in patients with moyamoya disease undergoing cerebral revascularization. Methods: A total of 358 patients with moyamoya disease who underwent cerebral revascularization in Qilu Hospital of Shandong University from January 2022 to December 2023 were selected. According to the random number table method, they were divided into two groups (179 cases in each group). The control group received routine intervention, while the observation group received nursing based on stress system theory on the basis of the intervention conditions of the control group. The mood [evaluated by Connor-Davidson Resilience Scale (CD-RISC)], post-traumatic growth status [evaluated by Posttraumatic Growth Inventory (PTGI)], postoperative complications and nursing evaluation were compared between the two groups at different intervention stages. Results: After intervention, the scores of each item in the CD-RISC scale (self-improvement, optimism and tenacity) in the observation group were higher than those in the control group (P < 0.05). After intervention, the scores of the 5 items in the PTGI scale (life perception, personal strength, new possibilities, relationship with others and self-transformation) in the observation group were higher than those in the control group (P < 0.05). The total proportion of patients with complications in the observation group (3.35%) was lower than that in the control group (8.38%) (χ² = 4.097, P = 0.042). The nursing evaluation (i.e., total satisfaction) of the observation group was higher than that of the control group (P < 0.05). Conclusion: The implementation of the nursing model based on stress system theory can effectively improve the mood of patients with moyamoya disease during cerebral revascularization, promote their post-traumatic growth, reduce the occurrence of postoperative complications, and obtain higher nursing evaluation from patients.