摘要
目的:探讨支持性心理干预预防脊髓损伤患者创伤后应激障碍的效果。方法:选取2019年6月-2020年6月中国人民解放军联勤保障部队第九○九医院骨科医院收治的83例脊髓损伤患者,采用随机数字表法将患者分为对照组(41例)和观察组(42例)。对照组行常规护理干预,观察组在常规护理基础上实施支持性心理干预,比较两组焦虑和抑郁评分、创伤后应激障碍(PTSD)筛查量表-城市居民版(PCL-C)评分、PTSD发生率、术后锻炼依从性、肌力情况及满意度。结果:干预后,观察组焦虑评分、抑郁评分及各维度PCL-C评分低于对照组,差异均有统计学意义(P<0.05)。观察组PTSD发生率低于对照组,而观察组主动锻炼依从率、肌力恢复优良率及满意度高于对照组,差异均有统计学意义(P<0.05)。结论:支持性心理干预可减轻脊髓损伤患者焦虑抑郁情绪,有效预防创伤后应激障碍的发生,提高患者治疗信心及锻炼依从性,有利于患者术后康复,提高患者治疗满意度。
Objective:To explore the effect of supportive psychological intervention on the prevention of post-traumatic stress disorder in patients with spinal cord injury.Method:A total of 83 patients with spinal cord injury admitted to the Orthopaedic Hospital of the 909th Hospital,the PLA Joint Logistics Support Force from June 2019 to June 2020 were selected,they were divided into control group(41 cases)and observation group(42 cases)according to random number table method.The control group received routine nursing intervention,and the observation group received supportive psychological intervention on the basis of routine nursing.The anxiety and depression scores,(posttraumatic stress disorder,PTSD)screening scale-urban residents version(PCL-C)score,the incidence of PTSD,postoperative exercise compliance,muscle strength and satisfaction were compared between two groups.Result:After intervention,the anxiety score,depression score and all dimension PCL-C scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of PTSD of the observation group was lower than that of the control group,while the compliance rate of active exercise,excellent rate of muscle strength recovery and satisfaction rate of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Supportive psychological intervention can reduce anxiety and depression in patients with spinal cord injury,effectively prevent the occurrence of post-traumatic stress disorder,improve patient confidence in treatment and exercise compliance,help patients recover after surgery,and improve patient satisfaction with treatment.
作者
黄玲娜
叶城晨
HUANG Lingna;YE Chengchen(不详;Orthopaedic Hospital of the 909th Hospital,the PLA Joint Logistics Support Force,Zhangzhou 363000,China)
出处
《中外医学研究》
2022年第7期112-115,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
支持性心理干预
脊髓损伤
创伤后应激障碍
锻炼依从性
Supportive psychological intervention
Spinal cord injury
Post-traumatic stress disorder
Exercise compliance
