摘要
目的探讨基于聚焦解决模式的心理护理对脊柱外科患者创伤后成长的影响。方法选择2015年1月至12月期间我院收治的86例脊柱外科病例,通过随机数表法分为干预组和对照组各43例,分别采用聚焦解决模式护理和常规系统化整体护理,使用创伤后成长量表评定患者在干预前与干预后的创伤后成长的水平,并评价护理干预的满意度。结果干预前两组的创伤后成长总分及各维度的比较差异均无统计学意义。干预后干预组的创伤后成长总分为(82.57±3.76)分,显著高于对照组的创伤后成长总分(58.03±3.98)分(P<0.01)。干预组的人生感悟、个人力量、新的可能性、与他人关系和自我转变等维度的分数均高于对照组(P<0.05)。对于护理干预的满意率,干预组(93.03%)显著高于对照组(60.47%)(P<0.01)。结论基于聚焦解决模式的心理护理对于脊柱外科患者能取得很好的干预效应,并更好地提高创伤后成长水平。
Objective To observe the effects of psychological nursing based on solution focused approach on posttraumatic growth of spinal surgical patients. Methods A total of 86 spinal surgical patients from January to December 2015 were chosen and randomly divided into intervention group（43 cases）and control group（43 cases）. The intervention group received nursing of solution focused approach while the controls were given systematic holistic nursing. Posttraumatic growth scales were adopted to evaluate the level of posttraumatic growth of the two groups before and after intervention. The satisfactory degrees were evaluated. Results There was no statistically significant difference in total scale and each dimension scale of posttraumatic growth between patients from two groups before intervention. The total scale of posttraumatic growth in the intervention group was（82.57±3.76）after intervention,which was significantly higher than that of the control group（58.03±3.98）（P〈0.01）,and scales of life comprehension,personal strength,new possibilities,relation to others and self-change dimensions of intervention group were all higher than those of the control group（P〈0.05）. The satisfactory degrees of the intervention group（93.03%）was higher than that of the control group（60.47%）（P〈0.01）. Conclusion Psychological nursing based on solution focused approach can achieve great intervention effects on spinal surgical patients,and increase the level of posttraumatic growth.
出处
《国际精神病学杂志》
2017年第4期732-735,共4页
Journal Of International Psychiatry
关键词
聚焦解决模式
脊柱外科
创伤后成长
Solution focused approach
Spinal surgery
Posttraumatic growth
