摘要
目的探讨心理护理干预对颅脑损伤(TBI)后并发精神障碍患者情绪状态、生活质量及功能康复情况的影响。方法将TBI后精神障碍患者84例随机分为观察组与对照组,各42例。对照组实施常规护理,观察组在对照组基础上实施心理护理干预,为期八周。干预前后,比较两组中国神经功能障碍量表(CSS)、改良Barthel指数(BMI)、功能独立性评定量表(FIM)、护士用住院患者观察量表(NOSIE-30)、TBI患者生活质量量表(QOL-IBRI)评分及护理满意度。结果干预后观察组的CSS评分显著低于对照组,BMI及FIM评分显著高于对照组(P<0.05);干预后两组NOSIE-30及QOL-IBRI量表评分均显著改善,且观察组的改善幅度显著高于对照组(P<0.05);观察组的护理满意度为95.24%,显著高于对照组的80.95%(P<0.05)。结论心理干预能够改善TBI并发精神障碍患者的情绪状态,提高功能康复效果及生活质量,值得临床推广。
Objective To investigate the influence of psyehologieal intervention on emotional status, quality of life and functional rehabilitation in patients with mental disorders caused by traumatic brain injury （TBI） . Methods A total of 84 patients with mental disorders after TBI were randomly divided into the observation group and the control group, each with 42 cases. In the control group, patients were given routine nursing while the observation were given psyehologieal intervention on the basis of control group for 8 weeks. The scores of Chinese Stroke Seale （CSS）, Modified Barthel Index （ BMI ）, Functional Independence Measures （FIM）, Nurses＇ Observation Scale For Inpatient Evaluation （ NOSIE-30 ）, Quality of Life After Traumatic Injury （ QOL ） and nursing satisfaction were compared between the two groups after intervention. Results The score of CSS in the observation group was significantly lower than that of the control group alter intervention, and scores of BMI and FIM were significantly higher （ P〈0.05 ）; After intervention, the scores of NOSIE-30 and QOL in the two groups were significantly improved, and the improvement of observation group were significantly better （ P〈 0.05 ）; The nursing satisfaetion rate of observation group was 95.24 %, which was significantly higher than 80.95 % of the eontrol group （P〈 0.05 ） . Conclusion Psychological intervention ean improve the emotional status of patients with mental disorders caused by TBI, and improve functional rehabilitation and quality of life. It is worthy of clinical popularization.
出处
《国际精神病学杂志》
2017年第3期542-545,552,共5页
Journal Of International Psychiatry
关键词
颅脑损伤
精神障碍
心理干预
情绪状态
生活质量
Traumatic brain injury
Mental disorders
Psychological intervention
Emotional status
Quality of life
