| Objectives1.To construct a therapeutic communication intervention plan for the disease uncertainty of patients undergoing intracranial aneurysm interventional surgery2.Preliminary verification of the application value of therapeutic communication intervention in reducing disease uncertainty in patients undergoing aneurysm interventional surgery.Methods1.According Review domestic and foreign literatures through literature research,analyze the advantages and disadvantages of different intervention modes,summarize intervention methods,and construct the preliminary draft of intervention plan.2.Argument of the method of expert group meeting was carried out through expert group meeting to form the revised draft of intervention plan.To verify the feasibility,operability and effect of the intervention plan,10 patients were included for the pre-experiment,and the intervention plan was adjusted again to finally produce the implementation draft of the intervention plan.3.According to the inclusion and exclusion criteria of this study,patients who met the criteria for intracranial aneurysm intervention in the neurointensive care unit of a level-A hospital in Henan province from July to December 2020 were selected as the research subjects.In order to avoid the interference between the intervention measures,the patients admitted to hospital from July to September 2020 for intracranial aneurysm interventional surgery were enrolled into the control group,and the patients admitted from October to December 2020 for intracranial aneurysm interventional surgery were enrolled into the intervention group.The control group was treated with routine nursing and general communication mode.In the intervention group,therapeutic communication intervention mode was carried out on the basis of routine nursing,which mainly included relational communication with patients with intracranial aneurysms to establish a familiar and trusted nurse-patient relationship.To understand the patient’s current objective indicators,subjective feelings,disease uncertainty state and psychological state,coping style evaluation communication;By providing patients with information,emotional support and social support,it helps patients reduce the disease uncertainty caused by irrational cognition of intracranial aneurysm and interventional embolization,and teaches patients how to correctly deal with the therapeutic communication of negative emotions.And evaluative communication to evaluate the effectiveness of interventions.4.All of the patients within 24 h after admission in patients with stable vital signs after the uncertainty in illness scale(MUIS Mishel Uncertainty in Illness Scale),anxiety,since the rating scale(Self-Rating Anxiety Scale,SAS),depression Self rating scale(Self-ratingdepressionscale,SDS),trait coping style questionnaire(Trait coping style questionnaire,TCSQ),therapeutic communication after the intervention,the hospital before the index of the measurement again.5.Microsoft Excel 2010 was used for data entry and SPSS23.0 software was used for statistical analysis.It mainly includes:(1)Descriptive analysis: the general data of the research subjects were described by frequency,the scores of lack of disease,anxiety and depression,and the scores of coping styles in the intervention group and the control group before and after intervention,all of which were described by mean ± standard deviation.(2)Chi-square test: it is useful to compare the general information of the two groups of patients.Chi-square test is used to compare whether there are differences between the two groups of patients in gender,educational level,average annual family income,employment,payment method and other information.(3)T-test: when MUIS,SAS,SDS and TCSQ tests fit the normal distribution,the paired sample t-test was used for the comparison within the group.The Wilcoxon rank sum test was used for the comparison within the group when the normal distribution was not satisfied.Results of MUIS,SAS,SDS and TCSQ groups were compared using two independent samples t-test.All tests were in accordance with the bilateral test and the test level was α=0.05.Results1.The construction of therapeutic communication intervention plan for patients with disease uncertainty after intracranial aneurysm interventional surgery.A total of 7intervention literatures were included in the literature study,which were summarized from the aspects of "title,author,research purpose,sample size,main outcome indicators,intervention period,intervention method,research results and research conclusions".The 7 included intervention literatures were selected as reference.The object of intervention,the form of intervention,the frequency of intervention,the location of intervention,the intervener and the content of intervention are clearly defined,and the preliminary draft of the intervention program of this subject is formed.The intervention plan was revised on the basis of the expert group meeting method and the pre-test,in which the effective recovery rate of expert consultation was 100% and the authority coefficient of the expert was 0.89.Finally,the test draft of the therapeutic communication intervention plan for the disease uncertainty of patients undergoing intracranial aneurysm intervention was formed.2.Preliminary evaluation of effect of therapeutic communication intervention on reducing disease uncertainty in patients undergoing intracranial aneurysm interventional surgery.2.1A total of 69 patients with intracranial aneurysm interventional were included in this study,ranging in age from 36 to 63 years old.The mean age of the intervention group was 50.20±6.43 years old,and the mean age of the control group was51.91±6.48 years old.There were more female patients,accounting for 59.4%,and the married ones accounted for 89.8%.The education level of primary school students accounted for 23.2%,junior high school students accounted for 44.9%,senior high school students accounted for 21.7%,junior college students or above accounted for10.2%.The average per capita household income is 44.9% for those with less than30,000 to 50,000 yuan.The difference of general demographic data and various indicators between the intervention group and the control group(P >0.05)was not statistically significant.2.2 Uncertainty of disease: after intervention,the total score and scores of each of the four dimensions of MUIS in the two groups were lower than those before intervention,and the total score and scores of each of the four dimensions of MUIS in the intervention group were lower than those in the control group,with statistical significance(P < 0.01).2.3.Negative emotions: SAS and SDS scores in the two groups were lower after intervention than before intervention,and SAS and SDS scores in the intervention group were lower than those in the control group,the difference being statistically significant(P < 0.01).2.4 Coping styles: The scores of positive coping styles in 2 groups after intervention were higher than before intervention,and the scores in the intervention group were higher than those in the control group,with statistical significance(P <0.01);The scores of negative coping style in 2 groups increased and decreased after intervention compared with before intervention,and the scores in the intervention group were lower than those in the control group,with statistical significance(P <0.01).ConclusionTherapeutic communication intervention for patients undergoing intracranial aneurysm interventional surgery could reduce the uncertainty of disease,improve the negative emotions,face the disease in a positive and optimistic way. |
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