| 周文娟,胡梅园.基于创伤后成长模型的阶段性综合心理干预对脊髓损伤病人心理状态的影响.骨科,2024,15(5): 456-460. |
| 基于创伤后成长模型的阶段性综合心理干预对脊髓损伤病人心理状态的影响 |
| Impact of Stage Comprehensive Psychological Intervention Based on Posttraumatic Growth Model on the Psychological State of Patients with Spinal Cord Injury |
| 投稿时间：2023-10-23 |
| DOI：10.3969/j.issn.1674-8573.2024.05.013 |
| 中文关键词: 创伤后成长模型 脊髓损伤 阶段性综合心理干预 心理护理 |
| 英文关键词: Post-traumatic growth model Spinal cord injury Staged comprehensive psychological intervention Psychological care |
| 基金项目:湖北省自然科学基金（2023AFB947） |
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| 中文摘要: |
| 目的 探讨基于创伤后成长模型的阶段性综合心理干预对脊髓损伤（SCI）病人心理状态的影响。方法 选取2020年1月至2023年6月我院骨科收治的SCI病人86例，采用随机数字表法分为对照组和观察组，每组43例。对照组行常规心理护理，观察组行基于创伤后成长模型的阶段性综合心理干预。观察比较两组病人汉密顿焦虑量表（HAMA）、汉密顿抑郁量表（HAMD）、创伤后成长量表（PTGI）和护理满意度。结果 出院时，观察组的HAMA和HAMD评分均低于对照组（P＜0.05），PTGI总分高于对照组［（77.45±19.69）分 vs. （68.54±13.72）分，P＜0.05］，护理满意度高于对照组（83.72% vs. 55.81%，P＜0.05）。结论 基于创伤后成长模型的阶段性综合心理干预在不同阶段针对性干预病人的焦虑、抑郁等心理问题，能有效改善SCI病人心理状态，增强创伤后成长信心和心理社会适应能力。 |
| 英文摘要: |
| Objective To explore the impact of staged comprehensive psychological intervention based on posttraumatic growth model on the psychological state of patients with spinal cord injury (SCI). Methods A total of 86 patients with SCI admitted to the Department of Orthopedics of our hospital were randomly divided into control group and observation group, with the control group (43 cases) undergoing routine psychological nursing and the observation group (43 cases) undergoing staged comprehensive psychological intervention. Scores of Hamiltonian Anxiety Scale (HAMA), Hamiltonian Depression Scale (HAMD), Post-Traumatic Growth Scale (PTGI), and nursing satisfaction were compared between two groups. Results At discharge, the HAMA and HAHD scores in the observation group were lower than those in the control group (P＜0.05), the PTGI score in the observation group was higher than that in the control group (77.45±19.69 vs. 68.54±13.72, P＜0.05), and nursing satisfaction score in the observation group was higher than in the control group (83.72% vs. 55.81%, P＜0.05). Conclusion The staged comprehensive psychological intervention based on the post-traumatic growth model can intervene in patients' psychological problems such as anxiety and depression at different stages, effectively improve the psychological state of SCI patients, enhance their confidence in post-traumatic growth, and improve psychological and social adaptability. |
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