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精神关怀对颅内出血手术患者生活质量的影响:一项随机对照试验。

Effect of spiritual care on the quality of life in patients who underwent intracranial hemorrhage surgery: a randomized controlled trial.

作者信息

Goli Rasoul, Faraji Navid, Maroofi Himan, Hassanpour Amireh

机构信息

Departments of Medical-Surgical Nursing.

Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.

出版信息

Int J Surg. 2024 Jan 1;110(1):167-175. doi: 10.1097/JS9.0000000000000813.

Abstract

INTRODUCTION

One of the most important complications of stroke after intracranial haemorrhage surgery is impaired quality of life. This study was conducted to determine the impact of spiritual care on the quality of life of stroke patients.

METHODS

This single-blind clinical trial with a pre-test and post-test design was conducted on 100 stroke patients. Participants were recruited and randomly assigned to a control group and an intervention group. The stroke-specific quality of life (SS -QoL) scale was used to assess the quality of life of stroke patients. The intervention group received four sessions of spiritual care.

RESULTS

The independent t -test showed no significant difference between the two groups in the mean quality of life score ( t =-0.120, P =0.281) and its dimensions before the intervention. However, after the intervention, the results showed a significant difference between the two groups in terms of the mean quality of life score ( t =1.984, P <0.001) and its dimensions. In addition, the results of the paired t -test showed that in the intervention group, the mean score of quality of life ( t =5.161, P <0.001) and its dimensions were significantly different before and after the intervention. Furthermore, the results showed that before and after the intervention in the control group, the mean score of quality of life ( t =1.109, P =0.614) and its dimensions were not significantly different.

CONCLUSIONS

Based on this results, the authors strongly recommend the use of spiritual care as a holistic care and complementary method to improve the symptoms and quality of life of stroke patients.

摘要

引言

颅内出血手术后中风最重要的并发症之一是生活质量受损。本研究旨在确定精神关怀对中风患者生活质量的影响。

方法

本单盲临床试验采用前后测试设计,对100例中风患者进行研究。招募参与者并随机分为对照组和干预组。采用中风特异性生活质量(SS-QoL)量表评估中风患者的生活质量。干预组接受了四次精神关怀。

结果

独立t检验显示,干预前两组的生活质量平均得分及其维度无显著差异(t = -0.120,P = 0.281)。然而,干预后,两组在生活质量平均得分及其维度方面存在显著差异(t = 1.984,P < 0.001)。此外,配对t检验结果显示,干预组干预前后生活质量平均得分(t = 5.161,P < 0.001)及其维度存在显著差异。此外,结果显示对照组干预前后生活质量平均得分(t = 1.109,P = 0.614)及其维度无显著差异。

结论

基于这些结果,作者强烈建议将精神关怀作为一种整体护理和辅助方法,以改善中风患者的症状和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed95/10793776/05512ceaca65/js9-110-167-g001.jpg

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