综合心理护理干预对地震创伤手术患者康复的影响
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摘要
目的探讨心理护理干预对地震创伤手术患者康复的影响。方法将80例地震伤手术患者随机分为综合心理护理干预组和常规护理组,每组各40例,评估综合心理护理干预对患者的心理状况、医患关系满意度和住院时间的影响。心理测试采用SCL-90、HAMD及HAMA等量表。结果综合心理护理干预组的SCL-90、HAMD、HAMA量表中抑郁、焦虑及恐惧等因子较常规护理组低;对医患关系的满意度明显高于常规护理组;住院时间明显低于常规护理组(P<0.05)。结论综合心理护理干预可明显减轻地震创伤手术患者的抑郁、焦虑及恐惧等心理障碍,有利于他们康复治疗。
Objective To observe the effect of mental nursing for operation patients with earthquake trauma on their rehabilitation. Methods Eighty operation patients with earthquake trauma were randomly divided into two groups: mental nursing group and conventional nursing group. Psychological consult was used in the mental nursing group. Results were recorded by psychologic test, investigation questionnaire and nursing statistics. The measuring scales included SCL-90, HAMD and HAMA. Results The degree of satisfaction in the mental nursing group was obviously higher than that in the conventional nursing group. The scores of depression and anxiety in the mental nursing group were lower than these in the conventional nursing group. The length of hospital stay in the mental nursing group was also shorter (P<0.05). Conclusion Mental nursing could reduce dysphrenia in operation patients with earthquake trauma and facilitate their rehabilitation.
Objective To observe the effect of mental nursing for operation patients with earthquake trauma on their rehabilitation. Methods Eighty operation patients with earthquake trauma were randomly divided into two groups: mental nursing group and conventional nursing group. Psychological consult was used in the mental nursing group. Results were recorded by psychologic test, investigation questionnaire and nursing statistics. The measuring scales included SCL-90, HAMD and HAMA. Results The degree of satisfaction in the mental nursing group was obviously higher than that in the conventional nursing group. The scores of depression and anxiety in the mental nursing group were lower than these in the conventional nursing group. The length of hospital stay in the mental nursing group was also shorter (P<0.05). Conclusion Mental nursing could reduce dysphrenia in operation patients with earthquake trauma and facilitate their rehabilitation.
引文
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2汪向东,赵丞智,新福尚隆,等.地震后创伤性应激障碍的发生率及影响因素.中国心理卫生杂志,1999,13(1):28-30.
3Sakir O,Aytekin S.Frequency of PTSD in a Group of Search and Rescue Workers Two Months After2003Bingol(Turkey)Earthquake.Journal of Nervous&Mental Disease,2004,192(8):573-575.
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8王丽萍,张本,姜涛,等.唐山大地震所致慢性创伤后应急障碍临床研究.中国心理卫生杂志,2005,19(8):517-520.
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10王燕琼.病人在手术室期间的心理探讨及护理.基层医学坛,2007,11(9):834-835.
2汪向东,赵丞智,新福尚隆,等.地震后创伤性应激障碍的发生率及影响因素.中国心理卫生杂志,1999,13(1):28-30.
3Sakir O,Aytekin S.Frequency of PTSD in a Group of Search and Rescue Workers Two Months After2003Bingol(Turkey)Earthquake.Journal of Nervous&Mental Disease,2004,192(8):573-575.
4吴文源,王征宇.症状自评量表(scl90).上海精神医院,1990,新2(增):68.
5张明圆,主编.精神科评定量表手册.长沙:湖南科学技术出版社,1998.133-163.
6汪向东,主编.心理卫生评定量表手册.中国心理卫生杂志,1993,7(增刊):211-223.
7张本,徐广明,马文有,等.大地震创伤后应激障碍患者的心理与神经内分泌变化.中国心理卫生杂志,2002,16(12):817-821.
8王丽萍,张本,姜涛,等.唐山大地震所致慢性创伤后应急障碍临床研究.中国心理卫生杂志,2005,19(8):517-520.
9杨瑞,李亚洁.创伤病人的心理学效应及心理护理.护理研究,2004,18(4):578-579.
10王燕琼.病人在手术室期间的心理探讨及护理.基层医学坛,2007,11(9):834-835.
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