摘要
目的探讨情绪管理对拇指再造患者创伤后应激障碍发生的影响。方法选择2017年1月至2019年1月河北医科大学第三医院手外科收治的手外伤拇指缺如行拇指再造患者16例为研究对象,按随机数字表法将患者分为2组。对照组8例,采取常规治疗护理。观察组8例,常规治疗护理加情绪管理。2组患者均采用问卷调查的形式进行调查,比较2组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、创伤后应激障碍自评量表(PTSD-SS)得分情况。评估患者入院、1个月、3个月、6个月的心理状态,应用SPSS 22.0软件进行统计学分析。结果全部再造指均成活。对照组SAS评分为术后1个月(61.38±6.41)分、术后3个月(54.00±9.65)分、术后6个月(47.50±11.11)分;观察组SAS评分为术后1个月(51.50±6.16)分、术后3个月(43.88±8.04)分、术后6个月(37.13±6.88)分。对照组SDS评分为术后1个月(49.88±7.77)分、术后3个月(43.13±11.12)分、术后6个月(41.13±12.03)分;观察组SDS评分为术后1个月(42.00±6.76)分、术后3个月(34.25±7.32)分、术后6个月(29.13±7.88)分。对照组PTSD-SS评分为术后1个月(33.63±6.09)分、术后3个月(26.88±7.04)分、术后6个月(26.25±7.01)分;观察组PTSD-SS评分为术后1个月(27.63±3.58)分、术后3个月(18.63±6.91)分、术后6个月(17.50±4.93)分。观察组患者SAS评分、SDS评分、PTSD-SS评分均低于对照组,差异有统计学意义(P<0.05)。结论情绪管理缓解了患者焦虑抑郁的心态,降低了拇指缺损行拇指再造术患者创伤后应激障碍综合征的发生。
Objective To investigate the effects of emotion management on the occurrence of post-traumatic stress disorder in patients with hand injury undergoing thumb reconstruction.Methods A total of 16 patients with hand injury who were treated by thumb reconstruction in our hospital from January 2017 to January 2019,16 were enrolled in the study,who were randomly divided into control group and observation group,with 8 cases in each group.The patients in control group were treated by conventional care,however,the patients in observation group,on the basis of control group,were treated by emotional management.The self-rating anxiety scale(SAS),the self-rating depression scale(SDS)and the self-rating post-traumatic stress disorder(PTSD-SS)were used to evaluate the mental state of patients at admission,1m,3m,6m after admission.Results All the reconstruction fingers were survival.The SAS scores,SDS scores,PTSD-SS scores at 1m,3m,6m after admission in observation group were significantly lower than those in control group(P<0.05).Conclusion The emotion management can alleviate the anxiety and depression mental attitude of patients,and can reduce the incidence of post-traumatic stress disorder in patients with hand injury undergoing thumb reconstruction.
作者
马荣华
黄小亮
杜如
樊艳丽
魏佳
邵新中
MA Ronghua;HUANG Xiaoliang;DU Ru(Department of Osteology,The Third Hospital of Hebei Medical University,Hebei,Shijiazhuang 050035,China;不详)
出处
《河北医药》
CAS
2021年第15期2358-2361,共4页
Hebei Medical Journal
基金
河北省卫生厅科研基金项目(编号:20120345)。
关键词
情绪管理
拇指再造
创伤后应激障碍
焦虑
抑郁
emotional management
thumb reconstruction
post-traumatic stress disorder
anxiety
depression
