摘要
目的分析心理干预对车祸外伤患者的影响。方法选取2013年1月至2015年1月我院收治的160例车祸外伤患者,采用随机数字表法将患者分为试验组和对照组,通过症状自评量表问卷,收集车祸发生后1周内患者的心理健康状况,建立车祸外伤两组患者的心理健康状况基线,试验组在常规护理基础上给予紧急事件应急晤谈和行为激发相结合的心理干预手段,控制组仅给予常规护理。3个月后对两组患者进行创伤后应激障碍(post-traumatic stress disorder,PTSD)诊断分析,并评估两组患者的生活质量。结果干预后试验组患者PTSD发生率低于对照组,PTSD患者的严重程度总评分低于对照组,生活质量总评分、生理职能评分等其他生活质量指标评分均显著优于对照组,差异均有统计学意义(P<0.05)。结论心理干预能降低车祸外伤患者出现创伤后应激障碍的发生率,改善患者的心理健康状态和生活质量。
Objective To analyze the effect of psychological intervention on the car accident patients.Methods During January 2013 to January 2015,160 patients with traffic accident injury in our hospital were selected and were divided into experimental and control groups by using the random number table method.The questionnaire survey was used to collect the mental health status of traffic accident trauma patients to establish the baseline of psychological health conditions.The experimental group was given psychological intervention based on the routine nursing care while the control group was given the routine care alone.After 3 months,the post-traumatic stress disorder（ PTSD） and the quality of life was compared between the two groups. Results The rate of PTSD,the severity score of PTSD,the score of life quality,the score of physiological functions and scores of other index in life quality in the experimental group were all significant higher than that in the control group（ P 〈0. 05）.Conclusion The psychological intervention can reduce the incidence of PTSD in the patients and improve patients＇ mental health status and quality of life.
出处
《实用医院临床杂志》
2016年第2期79-82,共4页
Practical Journal of Clinical Medicine
关键词
创伤后应激障碍
车祸外伤
紧急事件应急晤谈
行为激发
心理干预
生活质量
Post-traumatic stress disorder
Traffic accident injury patients
Critical incident stress debriefing
Behavioral activation
Psychological intervention
Quality of life
