Effect of psychological management based on narrative context in interventional treatment for cerebral aneurysm

Abstract

Objective To explore the effect of psychological management in narrative context on the quality of life and negative emotions of patients with cerebral aneurysm undergoing interventional therapy. Methods 108 patients who underwent interventional embolization of intracranial aneurysms from November 2016 to May 2018 were randomly divided into two groups. 54 patients in the control group were given routine nursing care, while 54 patients in the observation group were given narrative psychological nursing on the basis of routine nursing. The occurrence of negative emotions, quality of life, and complications were comparatively studied before and after nursing in the two groups. Results After 2 weeks of intervention, the negative emotions (SAS and SDS scores) in the control group were not significantly improved (P>0.05), the negative emotions scores in the observation group were significantly lower than those before the intervention, and significantly lower than those in the control group (P<0.05); the scores of psychology, physiology, environment, independence, social relationship, and spiritual support as well as the total score in the observation group showed significant improvement (P<0.05). As was revealed in the comparison between the two groups, except for the physiology and environment, the scores of psychology, independence, social relationship, and spiritual support as well as the total score in the observation group after the intervention were all higher than those in the control group (P<0.05). The incidence of complications in the observation group (17.00%) was significantly lower than that in the control group (30.00%), with a statistically significant difference between the two groups (P<0.05). Conclusion Psychological management in the narrative context is conducive to alleviating negative emotions of patients with cerebral aneurysm undergoing interventional therapy, improving the postoperative quality of life, reducing the occurrence of complications, which plays a positive role in postoperative rehabilitation of patients, is of high practical value. Key words: Cerebral aneurysm; Interventional therapy; Narrative psychology nursing; Quality of life; Negative emotions